Reduced Length of Hospitalization in Primary Total Knee Arthroplasty Patients Using an Updated Enhanced Recovery After Orthopedic Surgery (ERAS) Pathway

被引：232

作者：

Auyong, David B. ^{[1
]}

Allen, Cindy Jo ^{[1
]}

Pahang, Joshuel A. ^{[1
]}

Clabeaux, Jonathan J. ^{[1
]}

MacDonald, Kevin M. ^{[1
]}

Hanson, Neil A. ^{[1
]}

机构：

[1] Virginia Mason Med Ctr, Seattle, WA 98101 USA

来源：

JOURNAL OF ARTHROPLASTY | 2015年 / 30卷 / 10期

关键词：

primary total knee arthroplasty; length of stay; adductor canal block; enhanced recovery after surgery ( ERAS); readmissions; PRIMARY TOTAL HIP; TOTAL JOINT ARTHROPLASTY; COLORECTAL SURGERY; REPLACEMENT SURGERY; TRANEXAMIC ACID; UNITED-STATES; STAY; COST; CARE; IMPLEMENTATION;

D O I：

10.1016/j.arth.2015.05.007

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

100224 [整形外科学];

摘要：

Decreasing hospital length of stay may attenuate costs associated with total knee arthroplasty. The purpose of this study was to determine if updates to an existing orthopedic enhanced recovery after surgery (ERAS) pathway would improve length of hospitalization. Clinical and demographic data were collected on 252 primary total knee arthroplasties between January 2012 and July 2013. Pre-updated and post-updated ERAS pathway cohorts were analyzed for length of stay, clinical outcomes, and re-admissions. The mean length of stay decreased from 76.6 hours to 56.1 hours after implementation of the evidence-based orthopedic enhanced recovery after surgery pathway (P < 0.001). This improvement was possible without a concomitant increase in readmission rates. (C) 2015 Elsevier Inc. All rights reserved.

引用

页码：1705 / 1709

页数：5

共 26 条

[1]

Effects of clinical pathways in the joint replacement: a meta-analysis [J].