‘Short stay’ hip arthroplasty patients show good results
MANCHESTER — Researchers from the United Kingdom report positive outcomes for a short stay hip program, which educates and then discharges patients within 2 days after undergoing an uncemented total hip arthroplasty surgery, according to a presentation here.
“Short length of stay is very achievable in the district general hospital setting,” Sebastian Dawson-Bowling, MCRS, says in his presentation at the British Orthopaedic Association Congress. “These are highly reproducible steps and we think the program can be applied elsewhere.”
Of 100 patients evaluated at 3-year to 5-year follow-up, there was one luxation, one heart attack and one deep infection. Patients were 65 years old on average with an American Society of Anaesthesiologists (ASA) score of 1.97 and stayed for a mean of 1.99 nights in the hospital. There was no relation between ASA score and age, according to the abstract.
Patients participated in a half-day “joint school training” program prior to admission, where they are assessed in a group session, after an individual physiological exam takes place and assessment by nurses, Dawson-Bowling said. Before surgery, the patients received crutches to practice at home.
Surgeons did a total hip replacement using an uncemented implant through a mini-posterior approach using spinal and general anesthesia. After surgery, patients had access to outreach care, Dawson-Bowling said.
Dawson-Bowling said the ASA score and mean patient age were corresponding to the national average. Of 82 patients still under follow-up, 97% continue to be satisfied with their implants, concludes the abstract.
Dawson-Bowling S. Paper #30. Presented at: The British Orthopaedic Association Congress; Sept. 11-14, 2012; Manchester.