arthroplasty, asa score, British Orthopaedic Association, Health, Hip Replacement, Length of stay, Patient, Research, science, Short film, surgery, Total Hip Arthroplasty, total hip arthroplasty procedure, UNited States
‘Short stay’ hip arthroplasty patients show good results
October 18, 2012
MANCHESTER — Researchers from the United Kingdom have reported positive results for a short stay hip program, which educates and then discharges patients within 2 days after an uncemented total hip arthroplasty procedure, according to a presentation here.
“Short length of stay is very achievable in the district general hospital setting,” Sebastian Dawson-Bowling, MCRS, stated in his presentation at the British Orthopaedic Association Congress, here. “These are highly reproducible steps and we believe the program can be reproduced elsewhere.”
Of 100 patients evaluated at 3-year to 5-year follow-up, there was one dislocation, one myocardial infarction and one deep infection. Patients were mean 65 years old with an American Society of Anaesthesiologists (ASA) score of 1.97 and stayed for a mean of 1.99 nights. There was no association between ASA score and age, according to the abstract.
Patients underwent a half-day “joint school training” regime prior to admission, where they are assessed in a group session, followed by an individual physiological exam and assessment by nurses, Dawson-Bowling said. Prior to surgery, the patients received crutches for practice at home.
Dawson-Bowling said the ASA score and mean patient age were comparable to the national average. Of 82 patients under current follow-up, 97% remain satisfied with their implants, according to the abstract.Surgeons performed a total hip arthroplasty using an uncemented implant through a mini-posterior approach using low dose spinal and general anesthesia. Postoperatively, patients had access to outreach care, Dawson-Bowling said.
Dawson-Bowling S. Paper #30. Presented at: The British Orthopaedic Association Congress; Sept. 11-14, 2012; Manchester.
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