Overnight joint replacement surgery: a pilot Australian study

Background With a stretched healthcare system and elective surgery backlog, measures to improve efficiency and decrease costs associated with surgical procedures need to be prioritized. This study compares the benefits of multi‐disciplinary involvement in an enhanced recovery after surgery (ERAS) pr...

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Bibliographic Details
Published in:ANZ journal of surgery 2022-10, Vol.92 (10), p.2683-2687
Main Authors: Qurashi, Sol, Chinnappa, Jason, Aktas, Sam, Dabboussi, Abdul Majid, Rahman, Md Bayzidur
Format: Article
Language:English
Subjects:
Arthroplasty, Replacement, Hip
Arthroplasty, Replacement, Knee - rehabilitation
Australia
Biomedical materials
enhanced recovery after surgery
health care rationing
health economics
Health services
Hip
Humans
Knee
Knee Joint - surgery
Length of Stay
Orthopaedic implants
Orthopaedic Surgery
Patients
Recovery (Medical)
Rehabilitation
Surgery
Total hip arthroplasty
total hip replacement
total knee replacement
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Summary:Background With a stretched healthcare system and elective surgery backlog, measures to improve efficiency and decrease costs associated with surgical procedures need to be prioritized. This study compares the benefits of multi‐disciplinary involvement in an enhanced recovery after surgery (ERAS) protocol‐led overnight model following total hip replacement (THR) and total knee replacement (TKR). Methods Patients in each of two private hospitals undergoing THR or TKR were prospectively enrolled. One hospital (Overnight) was fully committed to the ERAS protocol implementation on all levels and formed the treatment group while in the other hospital (control), patients only had the anaesthetic and operative procedure as part of the ERAS protocol but did not follow the perioperative measures of the protocol. Outcomes on hospital length of stay (LOS), inpatient rehabilitation, functional outcomes, satisfaction, adverse events and readmission rates were investigated. Results Median LOS in the Overnight group was significantly smaller than in the control group (1 vs. 3 days, P 
ISSN:1445-1433
1445-2197
DOI:10.1111/ans.17977