The association between the day of the week of milestones in the care pathway of patients with hip fracture and 30-day mortality: findings from a prospective national registry – The National Hip Fracture Database of England and Wales

May 3, 2017

Source:  BMC Medicine, 2017, 15 (1) p. 62

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Date of publication: March 2017

Publication type: Research

In a nutshell: In this study, the association between the day of the week of care pathway milestones (admission, surgery, inpatient stay and discharge) and 30-day mortality was investigated. Sunday surgery and a delay to surgery of more than 24 hours were both associated with a 9.4% increase in 30-day mortality.

Length of publication: 13 pages

Some important notes:  You will need an NHS Athens username and password to access this article.  Please contact your local NHS library if you cannot access the full text.  Follow this link to find your local NHS library.

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Feasibility of outpatient total hip and knee arthroplasty in unselected patients: a prospective 2-center study

May 3, 2017

Source:  Acta Orthopaedica 2017, 20 April [epub]

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Date of publication:  April 2017

Publication type:  Journal article

In a nutshell:  Identified the number of patients suitable for outpatient THA and TKA in an unselected patient population, investigated the proportion of patients who were discharged on the day of surgery, and identified reasons for patients not being discharged on the day of surgery.

Length of publication:  6 pages

Acknowledgement:  Acta Orthopaedica


Length of hospitalization after joint replacement: does early discharge affect complications and readmission rates?

August 15, 2016

Source:  Journal of Arthroplasty 2016, August 9 [epub]

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Date of publication:  August 2016

Publication type:  Journal article

In a nutshell:   Increased length of stay is associated with increased complications and readmissions after joint replacement for patients with a hospital stay of 3 or more days.  There was no difference in complication or readmission rates after knee arthroplasty between patients discharged on post-operative day 1 or day of surgery.  However, in total hip arthroplasty there was an increased complication rate in patients discharged on the day of surgery compared to post-operative day 1.

Some important notes:  You will need an NHS OpenAthens username and password to access this article.  Please contact your local NHS library if you cannot access the full text.  Follow this link to find your local NHS library.

Acknowledgement:  Journal of Arthroplasty


Predictors of hospital length of stay in an enhanced recovery after surgery program for primary total hip arthroplasty

March 24, 2016

Source:  Journal of Arthroplasty 2016, 10 March [epub]

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Date of publication:  March 2016

Publication type:  Journal article

In a nutshell:  studied the association of clinical factors with length of stay in order to optimise discharge protocols for patients in an enhanced recovery after surgery programme.

Some important notes:  You will need an NHS OpenAthens username and password to access this article.  Please contact your local NHS library if you cannot access the full text.  Follow this link to find your local NHS library.

Acknowledgement:  Journal of Arthroplasty


Clinical outcomes and costs within 90 days of primary or revision total joint arthroplasty

January 21, 2016

Source:  Journal of Arthroplasty 2016, 20 January [epub]

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Date of publication:  January 2016

Publication type:  Journal article

In a nutshell:  Evaluates the factors and costs associated with discharge destination and readmissions within 90 days of TKA or THA.

Some important notes:  You will need an NHS OpenAthens username and password to access this article.  Please contact your local NHS library if you cannot access the full text.  Follow this link to find your local NHS library.

Acknowledgement:  Journal of Arthroplasty


Selective early hospital discharge does not increase readmission but unnecessary return to the emergency department is excessive across groups following total knee arthroplasty

December 17, 2015

Source:  Journal of Arthroplasty 2015, 16 December [epub]

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Date of publication:  December 2015

Publication type:  Journal article

In a nutshell:  evaluates the safety of early hospital discharge following primary TKA and identifies the diagnoses responsible for emergency department visits and readmissions in the postoperative period.

Some important notes:  You will need an NHS OpenAthens username and password to access this article.  Please contact your local NHS library if you cannot access the full text.  Follow this link to find your local NHS library.

Acknowledgement:  Journal of Arthroplasty