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- W2346453062 abstract "Introduction Rapid recovery protocols (RRP) for joint replacements have been shown to improve efficiency, reduce costs, and minimize adverse outcomes in academic health systems. The purpose of this study is to evaluate if RRP can be safely implemented in a community health system for total knee arthroplasty. Methods This study used a retrospective cohort of 3,608 patients who underwent primary unilateral total knee arthroplasty from January 1, 2013 to December 31, 2014. 60 Patients were excluded because data or surgery could not be verified: BMI less than 18.5 or greater than 60 kg/m∘2 or if the surgical time was less than 45 seconds or greater than 180 minutes, and bilateral surgery. Data was obtained from querying the health system9s inpatient database containing information for all joint replacements within the system. Patients were compared in two groups: those who received a RRP after surgery versus those who received traditional post-op care. The main outcome measure was all-cause 30-day readmissions. Multivariate logistic regression was used to calculate the odds for all-cause 30-day readmission for patients who received RRP versus traditional care when controlling for age, gender, race, insurance status (Medicare versus no Medicare), obesity, diabetes, renal disease, tobacco use, and ASA score (less than 3 versus 3 or greater). Results Patients receiving RRP were readmitted less than those who received traditional care (1.6% versus 3.6%, p Conclusions Rapid recovery protocols are an effective means of reducing 30-day readmissions and length of stay in patients undergoing primary unilateral total knee arthroplasty in a community setting." @default.
- W2346453062 created "2016-06-24" @default.
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- W2346453062 date "2016-05-01" @default.
- W2346453062 modified "2023-09-27" @default.
- W2346453062 title "RAPID RECOVERY PROTOCOL FOR PRIMARY TOTAL KNEE ARTHROPLASTY REDUCES LENGTH OF STAY AND DECREASES HOSPITAL READMISSIONS IN A COMMUNITY SETTING" @default.
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