Authors: Stephan Christian Mertes Shruti Raut Vikas Khanduja
Publish Date: 2013/03/03
Volume: 37, Issue: 6, Pages: 1157-1163
Abstract
Three hundred and eight THAs and 299 TKAs were assessed in a retrospective before–after trial design LOS POLOS and DOSA were recorded for patients before and after introduction of the ICP The ICP encompassed a patient education programme specific daily management goals variance mapping daily facilitated meetings and a DOSA policy Subgroup analysis according to age and gender was also performedMean LOS was significantly reduced by 14 from 69 to 55 days for THA and 08 from 64 to 56 days for TKA Elderly patients and men achieved greater LOS reductions than their counterparts for both operations Younger patients undergoing THA achieved a significantly higher DOSA rate than older patients 89 vs 71 p = 0010 however this difference was not observed in the TKA population Mean POLOS for THA was reduced by 06 from 59 to 53 days again with the greatest benefit seen in elderly and male patients POLOS for TKA patients was not significantly affected by the ICP
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