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Archives of Orthopaedic and Trauma Surgery

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01-01-2012 | Orthopaedic Outcome Assessment

Reduced length of stay following hip and knee arthroplasty in Denmark 2000–2009: from research to implementation

Authors: Henrik Husted, Claus Munk Jensen, Søren Solgaard, Henrik Kehlet

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 1/2012

Abstract

Introduction

Fast-track surgery is the combination of optimized clinical and organizational factors aiming at reducing convalescence and perioperative morbidity including the functional recovery resulting in reduced hospitalization. As the previous nationwide studies have demonstrated substantial variations in length of stay (LOS) following standardized operations such as total hip and knee arthroplasty (THA and TKA), this nationwide study was undertaken to evaluate the implementation process of fast-track THA and TKA in Denmark.

Materials and methods

All hospitals in Denmark report to the National Patient Registry, linking the type of surgery and LOS with a unique individual social security number. This study is based on primary THA and TKA from a 5.5 million population from 2000 to the end of 2009.

Results

The number of performed primary unilateral THA and TKA has increased from around 7,200 in 2000 to 13,800 in 2009 with a concomitant reduction in LOS from median 10–11 days in 2000 to 4 days in 2009.

Conclusion

Fast-track surgery has been successfully implemented in the orthopedic departments in Denmark through a multi-disciplinary educational and multi-institutional effort. These implementation principles may be transferred to other countries and other specialties.

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Title: Reduced length of stay following hip and knee arthroplasty in Denmark 2000–2009: from research to implementation
Authors: Henrik Husted
Claus Munk Jensen
Søren Solgaard
Henrik Kehlet
Publication date: 01-01-2012
Publisher: Springer-Verlag
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 1/2012
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-011-1396-0

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Reduced length of stay following hip and knee arthroplasty in Denmark 2000–2009: from research to implementation

Abstract

Introduction

Materials and methods

Results

Conclusion

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Introduction

Materials and methods

Results

Conclusion

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