Navigation Links
Earlier exit from hospital after hip operation
Date:7/1/2011

Discharged from the hospital within two days of a total hip replacement operation? It's possible, thanks to the new 'Fast Track' protocol that underwent testing in the U.S., in response to both patient requests for shorter hospital stays and economic realities of providing medical care. According to Dr. Lawrence Gulotta and colleagues, from Hospital for Special Surgery in New York, a carefully screened group of patients undergoing total hip replacement can be discharged from the hospital two days after surgery, without any increase in complications or adverse effects compared with the more traditional protocol. Their work is published online in Springer's HSS Journal.

The Fast Track protocol encourages patients to get up and move around earlier and more frequently. Hospital-based epidural pain relief is stopped earlier and patients are given aspirin to prevent blood clots. In addition, arrangements are made for a physical therapist to work with the patient at home after discharge.

The authors compared length of hospital stay, safety and peri-operative complications between two groups of patients over a two-year period. A total of 134 patients experienced the standard post-operative route where the discharge goal was four days at that time, and 149 enrolled in the Fast Track protocol where the goal was to discharge patients within two days of surgery.

The average length of stay in the Fast Track group was just over 2.5 days compared with patients in the traditional group who, on average, were discharged after four days or more. Of those undergoing the Fast Track approach, 58 percent were successfully discharged within two days of surgery, and 73 percent within three days.

Although five patients were readmitted from the Fast Track group, compared with only one from the traditional group, the authors found no differences in the rates of overall complications between the two groups. In addition, fewer patients felt dizzy after the operation with the Fast Track protocol than the traditional version (19 percent versus 42 percent).

The authors also looked at factors that might predict successful two-day discharges. They found that people with normal blood pressure were more likely to be discharged within two days than those with hypertension, as were those who experienced no post-operative nausea or dizziness. Indeed, postoperative pain, nausea and dizziness interfered with physical therapy and, as a result, were the main reasons for an unsuccessful two-day discharge.

Gulotta and colleagues conclude: "Since there were no differences in complication, readmission, and reoperation rates for the Fast Track group compared with the Control group in this study, we feel this proves that a two-day discharge following uncomplicated total hip replacement in a select group of relatively healthy patients is safe. The program is effective at reducing hospital length of stay. What we cannot assess at this stage is whether we achieved any actual cost savings."


'/>"/>

Contact: Joan Robinson
joan.robinson@springer.com
49-622-148-78130
Springer
Source:Eurekalert

Related medicine news :

1. Nuclear physics promises earlier detection of brain tumors with just 1 scan
2. Earlier Detection of Breast Cancer May Be Possible
3. Women Who Marry Younger Men May Die Earlier
4. Cost of caring for stroke patients double that of earlier estimates
5. Teen automobile crash rates are higher when school starts earlier
6. Gene-Based Detection Method Might Spot HIV Earlier
7. Sleep Disorder May Help Predict Parkinsons Decades Earlier
8. New way of classifying rheumatoid arthritis aimed at identifying the disease earlier
9. Absent Father Might Mean Earlier Puberty for Higher-Income Girls
10. Experimental Test May Spot Prostate Cancer Earlier, More Accurately
11. Urine Markers May Reveal Kidney Damage Earlier
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/26/2016)... ... June 27, 2016 , ... Quality metrics are proliferating in cancer care, and ... in the eye of the beholder, according to experts who offered insights and commentary ... of Managed Care. For the full issue, click here . , For the ...
(Date:6/26/2016)... ... June 26, 2016 , ... Many women are ... with endometriosis. These women need a treatment plan to not only alleviate symptoms ... can help for preservation of fertility and ultimately achieving a pregnancy. The specialists ...
(Date:6/25/2016)... ... June 25, 2016 , ... First Choice Emergency Room , the largest ... as the Medical Director of its new Mesquite-Samuell Farm facility. , “We are ... Mesquite location,” said Dr. James M. Muzzarelli, Executive Medical Director of First Choice Emergency ...
(Date:6/24/2016)... ... June 24, 2016 , ... A recent article published ... unfamiliar with. The article goes on to state that individuals are now more comfortable ... less common operations such as calf and cheek reduction. The Los Angeles area medical ...
(Date:6/24/2016)... ... June 24, 2016 , ... Global law firm Greenberg Traurig, P.A. announced that ... chosen by their peers for this recognition are considered among the top 2 percent ... special honors as members of this year’s Legal Elite Hall of Fame: Miami ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... 24, 2016  Arkis BioSciences, a leading innovator ... more durable cerebrospinal fluid treatments, today announced it ... funding is led by Innova Memphis, followed by ... private investors.  Arkis, new financing will accelerate the ... market release of its in-licensed Endexo® technology. ...
(Date:6/23/2016)... DUBLIN , June 23, 2016 ... "Dialysis Devices Global Market - Forecast to 2022" report ... is the treatment method for the patients with kidney failure, ... and excess fluid from the patient,s blood and thus the ... sodium, potassium and chloride in balance. Increasing ...
(Date:6/23/2016)... 23, 2016 Research and Markets ... Market by Type (Organic Chemical (Sugar, Petrochemical, Glycerin), Inorganic ... Coating, Parenteral) - Global Forecast to 2021" report ... The global pharmaceutical excipients market is projected to ... of 6.1% in the forecast period 2016 to 2021. ...
Breaking Medicine Technology: