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:5/26/2017)... ... 26, 2017 , ... Amir Qureshi, MD is the first physician in Arkansas ... stimulation system. The Nuvectra™ Algovita SCS System has been FDA approved as a treatment ... in Arkansas to introduce the most powerful SCS system and the only stretchable lead ...
(Date:5/26/2017)... MA (PRWEB) , ... May 26, 2017 , ... On ... Act (AHCA), which narrowly passed the U.S. House on May 4, would result in ... be expected under continued implementation of the 2010 Patient Protection and Affordable Care Act ...
(Date:5/26/2017)... ... May 26, 2017 , ... Dr. Alex Rabinovich, a highly-skilled ... a new, informational blog post on insurance options. If a Bay Area patient has ... help save time and money. Visiting an in-network provider for a second opinion can ...
(Date:5/26/2017)... ... 2017 , ... “Cactus Jack: Against All Odds”: the story of Coach Cactus ... Against All Odds” is the creation of published author, Walter Hubbard, a retired wildlife ... Carlisle’s third child Jane. Walter. Walter and Jane have three adult children and ...
(Date:5/24/2017)... , ... May 24, 2017 , ... Altec ... participation in nVerge 2017 – a one-day technology conference in San Diego, CA. ... solution, which allows users to fully utilize and enhance their Sage ERP solutions by ...
Breaking Medicine News(10 mins):
(Date:5/10/2017)... -- Global Health Intelligence (GHI), the leading healthcare ... published its 2017 ranking of the Best-Equipped Hospitals in ... analysis from GHI,s hospitals database for Latin America , ... The GHI database covers 86% of the hospitals in ... points for each institution in key areas such as beds, ...
(Date:5/9/2017)... Zimmer Biomet Holdings, Inc. (NYSE and SIX: ... it has earned a spot on Forbes, ... was ranked among 500 U.S. employers as well as ... and Services. The annual Forbes ... survey of over 30,000 employees across 25 industries. The ...
(Date:5/8/2017)... NEW YORK , May 8, 2017 ... in the transition from fee for service reimbursement. Black ... April 2017. 1.       The Market for ... 77% of physician practices with 3 or ... Compliance Technology Solutions by Q4. "Given the magnitude of ...
Breaking Medicine Technology: