Journal
JOURNAL OF ARTHROPLASTY
Volume 30, Issue 10, Pages 1705-1709Publisher
CHURCHILL LIVINGSTONE INC MEDICAL PUBLISHERS
DOI: 10.1016/j.arth.2015.05.007
Keywords
primary total knee arthroplasty; length of stay; adductor canal block; enhanced recovery after surgery ( ERAS); readmissions
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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.
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