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Published in: Knee Surgery, Sports Traumatology, Arthroscopy 9/2017

01-09-2017 | Knee

Length of stay and its impact upon functional outcomes following lower limb arthroplasty

Authors: Timothy M. Brock, Paul N. Baker, Steven Rushton, Michelle Bardgett, David Deehan

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 9/2017

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Abstract

Purpose

The aim was to investigate the interplay between patient characteristics and (1) length of hospital stay and (2) one-year patient-reported outcome following total knee and hip arthroplasty.

Methods

Event (survival) analysis and structural equation modelling were performed for 1001 patients undergoing knee (n = 566) and hip (n = 435) arthroplasty in a single institution.

Results

Age, body mass index and co-morbidities were independent predictors of length of stay in both event analysis and structural equation modelling. These patient characteristics and type of arthroplasty had both small direct and indirect effects on patient-reported outcome measures at one year. Length of stay had a small effect (<2 %) in SF-36 scores at one year.

Conclusion

Predictors that influence length of stay also impact on one-year post-operative outcome and therefore should be taken into account during patient selection and discharge planning.

Level of evidence

Retrospective cohort study, Level III.
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Metadata
Title
Length of stay and its impact upon functional outcomes following lower limb arthroplasty
Authors
Timothy M. Brock
Paul N. Baker
Steven Rushton
Michelle Bardgett
David Deehan
Publication date
01-09-2017
Publisher
Springer Berlin Heidelberg
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 9/2017
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-015-3914-z

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