Evidence map›Paper›PMID 25977757›Full record

ArticlePerioperative medicine (London, England)2015

How efficient is patient discharge following lower limb arthroplasty?

Elizabeth Ashby, Claire Matejowsky, Michael G Mythen, Fares S Haddad, Michael Pw Grocott

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Perioperative medicine (London, England), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 37% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 1 country.

Elizabeth AshbyCatterall Unit, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, Middlesex HA7 4LP UK.
Claire MatejowskySurgical Outcomes Research Centre, University College London Hospital, 235 Euston Road, Fitzrovia, London, NW1 2BU UK.
Michael G MythenUCL Institute of Child Health, Surgical Outcomes Research Centre, Joint UCLH/UCL Comprehensive Biomedical Research Centre, Gower Street, London, WC1E 6BT UK.
Fares S HaddadUniversity College London Hospital, 235 Euston Road, Fitzrovia, London, NW1 2BU UK.
Michael Pw GrocottUCL Institute of Child Health, Surgical Outcomes Research Centre, Joint UCLH/UCL Comprehensive Biomedical Research Centre, Gower Street, London, WC1E 6BT UK ; Integrative Physiology and Critical Illness Group, Clinical and Experimental Sciences, University of Southampton, University Road, Southampton, SO17 1BJ UK ; NIHR Respiratory Biomedical Research Unit, University Hospital Southampton/University of Southampton, University Road, Southampton, SO17 1BJ UK.
University College Hospital · GBRoyal National Orthopaedic Hospital · GBUniversity College London · GBUniversity of Southampton · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAppropriately timed patient discharge is essential for optimal patient care and efficient hospital functioning. The post-operative morbidity survey (POMS) is the only validated prospective method of measuring short-term post-operative morbidity. It has not previously been used as a bed utilisation tool.

methodsWe collected POMS data from 529 consecutive lower-limb arthroplasty patients over a 1-year period and recorded the number of patients remaining in the hospital without morbidity, together with alternative reasons for remaining in hospital. Data was collected on post-operative days (POD) 3, 5, 8 and 15.

resultsOn POD 3, 45% of hip arthroplasty patients and 52% of knee arthroplasty patients remained in hospital with no identifiable morbidity. On POD 5, 53% of hip arthroplasty patients and 47% of knee arthroplasty patients remained in hospital with no identifiable morbidity. These figures declined by POD 8 and 15. The most common reason for inappropriate bed occupancy was ongoing physiotherapy and occupational therapy.

conclusionsWe believe POMS is able to identify patients remaining in hospital with no significant morbidity and has utility as a prospective bed utilisation tool. Addition of a mobility measure to POMS may improve its utility in detecting morbidity requiring hospitalisation, particularly following lower limb arthroplasty.

Indexed as

ArthroplastyBed utilisationPost-operative morbidity

Identifiers

PMID25977757
PMCPMC4430917
OpenAlexW2155824129

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.