Abstract
Length of hospital stay (LHS) after primary total hip arthroplasty (THA) constitutes a critical outcome measure, as prolonged LHS implies increased resource expenditure. Investigations have highlighted factors that affect LHS after THA. These factors include advanced age, medical comorbidities, obesity, intraoperative time, anesthesia technique, surgical site infection, and incision length. We retrospectively analyzed the effect of day of the week of primary THA on LHS. We reviewed the surgery and patient factors of 273 consecutive patients who underwent THA at our institution, a tertiary-care teaching hospital. There was a 15% increase in LHS for patients who underwent THA on Thursday versus Monday when controlling for other covariates that can affect LHS. Other statistically significant variables associated with increased LHS included American Society of Anesthesiologists grade, transfusion requirements, and postoperative complications. The day of the week of THA may be an independent variable affecting LHS. Institutions with reduced weekend resources may want to perform THA earlier in the week to try to reduce LHS.
| Original language | English (US) |
|---|---|
| Pages (from-to) | E299-E303 |
| Journal | American journal of orthopedics (Belle Mead, N.J.) |
| Volume | 43 |
| Issue number | 12 |
| State | Published - Dec 1 2014 |
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ASJC Scopus subject areas
- Medicine(all)
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Effect of day of the week of primary total hip arthroplasty on length of stay at a university-based teaching medical center. / Rathi, Pranav; Coleman, Sheldon; Durbin-Johnson, Blythe; Giordani, Mauro; Pereira, Gavin Caesar; Di Cesare, Paul E.
In: American journal of orthopedics (Belle Mead, N.J.), Vol. 43, No. 12, 01.12.2014, p. E299-E303.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Effect of day of the week of primary total hip arthroplasty on length of stay at a university-based teaching medical center
AU - Rathi, Pranav
AU - Coleman, Sheldon
AU - Durbin-Johnson, Blythe
AU - Giordani, Mauro
AU - Pereira, Gavin Caesar
AU - Di Cesare, Paul E.
PY - 2014/12/1
Y1 - 2014/12/1
N2 - Length of hospital stay (LHS) after primary total hip arthroplasty (THA) constitutes a critical outcome measure, as prolonged LHS implies increased resource expenditure. Investigations have highlighted factors that affect LHS after THA. These factors include advanced age, medical comorbidities, obesity, intraoperative time, anesthesia technique, surgical site infection, and incision length. We retrospectively analyzed the effect of day of the week of primary THA on LHS. We reviewed the surgery and patient factors of 273 consecutive patients who underwent THA at our institution, a tertiary-care teaching hospital. There was a 15% increase in LHS for patients who underwent THA on Thursday versus Monday when controlling for other covariates that can affect LHS. Other statistically significant variables associated with increased LHS included American Society of Anesthesiologists grade, transfusion requirements, and postoperative complications. The day of the week of THA may be an independent variable affecting LHS. Institutions with reduced weekend resources may want to perform THA earlier in the week to try to reduce LHS.
AB - Length of hospital stay (LHS) after primary total hip arthroplasty (THA) constitutes a critical outcome measure, as prolonged LHS implies increased resource expenditure. Investigations have highlighted factors that affect LHS after THA. These factors include advanced age, medical comorbidities, obesity, intraoperative time, anesthesia technique, surgical site infection, and incision length. We retrospectively analyzed the effect of day of the week of primary THA on LHS. We reviewed the surgery and patient factors of 273 consecutive patients who underwent THA at our institution, a tertiary-care teaching hospital. There was a 15% increase in LHS for patients who underwent THA on Thursday versus Monday when controlling for other covariates that can affect LHS. Other statistically significant variables associated with increased LHS included American Society of Anesthesiologists grade, transfusion requirements, and postoperative complications. The day of the week of THA may be an independent variable affecting LHS. Institutions with reduced weekend resources may want to perform THA earlier in the week to try to reduce LHS.
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M3 - Article
C2 - 25490016
AN - SCOPUS:84932164715
VL - 43
SP - E299-E303
JO - American Journal of Orthopedics
JF - American Journal of Orthopedics
SN - 1078-4519
IS - 12
ER -