ArticleActa orthopaedica2014
Risk of re-admission, reoperation, and mortality within 90 days of total hip and knee arthroplasty in fast-track departments in Denmark from 2005 to 2011.
Article in Acta orthopaedica, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.
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Who cites it
39 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Economic analyses of fast-track total hip and knee arthroplasty: a systematic review.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2020Pooled it
- What is the evidence to support early supervised exercise therapy after primary total knee replacement? A systematic review and meta-analysis.BMC musculoskeletal disorders · 2019Pooled it
- [Knee flexion after hospitalisation is no predictor for functional outcome one year after total knee arthroplasty].Orthopadie (Heidelberg, Germany) · 2023Trial
- Telemedicine support shortens length of stay after fast-track hip replacement.Acta orthopaedica · 2017Trial
- Multimodal perioperative care plus immunonutrition versus traditional care in total hip arthroplasty: a randomized pilot study.Nutrition journal · 2016Trial
- Impact of anesthesia type on postoperative pain and outcomes in primary hip and knee arthroplasty: a retrospective register analysis.BMC anesthesiology · 2025Article
- Article
- Statistical models and implant customization in hip arthroplasty: Seeking patient satisfaction through design.Heliyon · 2024Article
- Fast Track Protocols and Early Rehabilitation after Surgery in Total Hip Arthroplasty: A Narrative Review.Clinics and practice · 2023Review
- Immunonutrition in Orthopedic and Traumatic Patients.Nutrients · 2023Review
- Key Components, Current Practice and Clinical Outcomes of ERAS Programs in Patients Undergoing Orthopedic Surgery: A Systematic Review.Journal of clinical medicine · 2022Review
- Rapid rise in prevalence of knee replacements and decrease in revision burden over past 3 decades in Finland: a register-based analysis.Acta orthopaedica · 2022Article
- Effects of Comorbidities on Pain and Function After Total Hip Arthroplasty.Frontiers in surgery · 2022Article
- Fast-track versus conventional surgery in relation to time of hospital discharge following total hip arthroplasty: a single-center prospective study.Journal of orthopaedic surgery and research · 2021Article
- Fast-Track Programs in Total Hip and Knee Replacement at Swedish Hospitals-Influence on 2-Year Risk of Revision and Mortality.Journal of clinical medicine · 2021Article
- The PROMISE study protocol: a multicenter prospective study of process optimization with interdisciplinary and cross-sectoral care for German patients receiving hip and knee endoprostheses.Acta orthopaedica · 2021Article
- Introducing enhanced recovery after surgery in a high-volume orthopaedic hospital: a health technology assessment.BMC health services research · 2020Observational
- Article
- [Total knee and hip arthroplasty within 2 days : The Danish Fast-Track Model].Der Orthopade · 2020Review
- Association of Cost and Medical Service Satisfaction with Korean and Conventional Medicine Use before and after Surgery in Postsurgical Patients: A Questionnaire Survey of Korean Patients with Postsurgical Pain Visiting Korean Medicine Hospitals.Evidence-based complementary and alternative medicine : eCAM · 2020Article
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Abstract
purposeTo compare the risks of re-admission, reoperation, and mortality within 90 days of surgery in orthopedic departments with well-documented fast-track arthroplasty programs with those in all other orthopedic departments in Denmark from 2005 to 2011.
methodsWe used the Danish hip and knee arthroplasty registers to identify patients with primary total hip arthroplasty or total knee arthroplasty. Information about re-admission, reoperation, and mortality within 90 days of surgery was obtained from administrative databases. The fast-track cohort consisted of 6 departments. The national comparison cohort consisted of all other orthopedic departments. Regression methods were used to calculate relative risk (RR) of adverse events, adjusting for age, sex, type of fixation, and comorbidity. Cohorts were divided into 3 time periods: 2005-2007, 2008-2009, and 2010-2011.
results79,098 arthroplasties were included: 17,284 in the fast-track cohort and 61,814 in the national cohort. Median length of stay (LOS) was less for the fast-track cohort in all 3 time periods (4, 3, and 3 days as opposed to 6, 4, and 3 days). RR of re-admission due to infection was higher in the fast-track cohort in 2005-2007 (1.3, 95% CI: 1.1-1.6) than in the national cohort in the same time period. This was mainly due to urinary tract infections. RR of re-admission due to a thromboembolic event was lower in the fast-track cohort in 2010-2011 (0.7, CI: 0.6-0.9) than in the national cohort in the same time period. No differences were seen in the risk of reoperation and mortality between the 2 cohorts during any time period.
interpretationThe general reduction in LOS indicates that fast-track arthroplasty programs have been widely implemented in Denmark. At the same time, it appears that dedicated fast-track departments have been able to optimize the fast-track program further without any rise in re-admission, reoperation, and mortality rates.
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