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European Journal of Orthopaedic Surgery & Traumatology

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01-04-2011 | Original Article

Implementing the Rapid Recovery Program in primary hip and knee arthroplasty in a UK state run hospital

Authors: David Gordon, Amar Malhas, Alex Goubran, Padmanabhan Subramanian, Cheryl Messer, David Houlihan-Burne

Published in: European Journal of Orthopaedic Surgery & Traumatology | Issue 3/2011

Abstract

The Rapid Recovery Program (RRP) is an accelerated discharge programme aimed at reducing the length of stay (LOS) and improving patient satisfaction. Its principles are discussed, and our early experience of 847 hip and knee arthroplasty patients described. Three groups were identified: Pre-RRP implementation (Pre-RRP), Post-RRP implementation who did not attend our pre-operative educational Joint Replacement School (JRS) (RRP-JRS) and Post-RRP who did attend JRS (RRP + JRS). Mean LOS (days) for hip arthroplasty was 11 (Pre-RRP), 6.4 (RRP + JRS) and 8.7 (RRP-JRS) (P < 0.05). Mean LOS (days) for knee arthroplasty was 8.5 (Pre-RRP) (P < 0.05), 5.9 (RRP + JRS) and 5.8 (RRP-JRS). RRP reduced LOS and pre-operative education further reduced LOS in hip arthroplasty. We believe these effects are produced by streamlining perioperative processes, education and improving patient experience.

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Title: Implementing the Rapid Recovery Program in primary hip and knee arthroplasty in a UK state run hospital
Authors: David Gordon
Amar Malhas
Alex Goubran
Padmanabhan Subramanian
Cheryl Messer
David Houlihan-Burne
Publication date: 01-04-2011
Publisher: Springer-Verlag
Published in: European Journal of Orthopaedic Surgery & Traumatology / Issue 3/2011
Print ISSN: 1633-8065
Electronic ISSN: 1432-1068
DOI: https://doi.org/10.1007/s00590-010-0690-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Implementing the Rapid Recovery Program in primary hip and knee arthroplasty in a UK state run hospital

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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