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AuthorMcCulloch, Robert
AuthorCottingham, Paul
AuthorChrismas, Bryna
AuthorPearce, Oliver
Available date2019-03-13T06:22:05Z
Publication Date2017-09-01
Publication NameJAAOS: Global Research and Reviews
Identifierhttp://dx.doi.org/10.5435/JAAOSGlobal-D-17-00032
CitationMcCulloch, R., Cottingham, P., Chrismas, B., & Pearce, O. (2017). Is It Time We Changed How We Measure Length of Stay for Hip and Knee Arthroplasty?. Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews, 1(6).
URIhttp://hdl.handle.net/10576/11424
AbstractPatient length of stay (LOS) for lower limb arthroplasty is a frequently quoted outcome measure. However, the use of mean values in days is prone to being skewed by outliers. Between January 2013 and December 2015, patient LOS for primary hip and knee replacement was collected in 1,168 patients. There were two groups: pre- and postinstitution of the Rapid Recovery Program. The hypothesis was that reducing LOS would highlight proportionate differences when using hours as the measuring unit. Statistical analysis confirmed a significant reduction in LOS between the Enhanced Recovery Program and Rapid Recovery Program ( < 0.001). Use of the median LOS reduces the impact of outliers. Use of hours as the unit of measure of LOS enabled analysis of the time of day of discharge. With decreasing LOS and day-case arthroplasty, a measurement in median hours should become the standard to allow for the detection of subtle changes.
Languageen
PublisherLippincott, Williams & Wilkins
Subjectorthopedics
knee
TitleIs It Time We Changed How We Measure Length of Stay for Hip and Knee Arthroplasty?
TypeArticle
Issue Number6
Volume Number1
ESSN2474-7661
dc.accessType Open Access


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