ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2016
Factors influencing length of hospital stay after primary total knee arthroplasty in a fast-track setting.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed.
- Effects of Enhanced Recovery After Surgery in Total Knee Arthroplasty for Patients Older Than 65 Years.Orthopaedic surgery · 2019Trial
- Association between weekday of surgery and length of hospital stay among patients undergoing primary total knee arthroplasty in Singapore: a secondary analysis based on a retrospective cohort study.Journal of orthopaedic surgery and research · 2025Article
- Patient-Centered Discharge and Postoperative Length of Hospital Stay in Primary Total Knee Arthroplasty.Cureus · 2024Article
- Influence of Health Insurance Coverage on the Survival Rate for Primary Total Knee Arthroplasty: Minimum 5-Year Follow-Up Analysis.Healthcare (Basel, Switzerland) · 2024Article
- Can machine learning models predict prolonged length of hospital stay following primary total knee arthroplasty based on a national patient cohort data?Archives of orthopaedic and trauma surgery · 2023Article
- Establishment and evaluation of a predictive model for length of hospital stay after total knee arthroplasty: A single-center retrospective study in China.Frontiers in surgery · 2023Article
- Effects of knee extension exercise starting within 4 h after total knee arthroplasty.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2022Article
- A novel predictive model of hospital stay for Total Knee Arthroplasty patients.Frontiers in surgery · 2022Article
- Association between type of anesthesia and length of hospital stay in primary unilateral total knee arthroplasty patients: a single-center retrospective study.Journal of orthopaedic surgery and research · 2021Article
- Two types of anaesthesia and length of hospital stay in patients undergoing unilateral total knee arthroplasty (TKA): a secondary analysis based on a single-centre retrospective cohort study in Singapore.BMC anesthesiology · 2021Article
- Influence of day of surgery and prediction of LOS > 2 days after fast-track hip and knee replacement.Acta orthopaedica · 2021Article
- To Predict the Length of Hospital Stay After Total Knee Arthroplasty in an Orthopedic Center in China: The Use of Machine Learning Algorithms.Frontiers in surgery · 2021Article
- Implementing early mobilisation after knee or hip arthroplasty to reduce length of stay: a quality improvement study with embedded qualitative component.BMC musculoskeletal disorders · 2020Article
- Perioperative predictors of prolonged length of hospital stay following total knee arthroplasty: a retrospective study from a single center in China.BMC musculoskeletal disorders · 2020Article
- Does the Day of the Week Affect Length of Stay and Hospital Charges Following Anterior Cervical Discectomy and Fusion?International journal of spine surgery · 2019Article
- Short stay total joint arthroplasty program: patient factors predicting readmissionCanadian journal of surgery. Journal canadien de chirurgie · 2019Article
- Fast-tracking for total knee replacement reduces use of institutional care without compromising quality.Acta orthopaedica · 2018Article
- Factors influencing postoperative length of stay in an enhanced recovery after surgery program for primary total knee arthroplasty.Journal of orthopaedic surgery and research · 2018Article
- The influence of gender on early adverse events, hospital charges and length of stay after shoulder arthroplasty.International orthopaedics · 2018Article
- Feasibility of outpatient total hip and knee arthroplasty in unselected patients.Acta orthopaedica · 2017Article
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Authors and funding
5 authors.
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Abstract
purposeThe goal of this study was to identify factors prior to surgery that are associated with an increased length of hospital stay after TKA using a fast-track protocol. MATERIALS AND
methodsIn total, 879 consecutive patients who underwent primary TKA were included in this retrospective cohort study. A length of stay greater than or equal to three nights was considered an increased length of hospital stay. Univariable and multivariable generalized linear mixed models were used to identify potential factors associated with increased length of hospital stay.
resultsLength of hospital stay was significantly associated with age [OR 1.01 (95 % CI 1.01-1.02); p < 0.001], gender [female vs. male, OR 1.07 (95 % CI 1.00-1.15); p = 0.04], ASA [ASA III/IV vs. ASA I, OR 1.22 (95 % CI 1.06-1.39); p = 0.005], living situation (alone vs. together, OR 1.08 (95 % CI 1.00-1.16); p = 0.04], neurological comorbidities [OR 1.14 (95 % CI 1.06-1.23); p < 0.001], musculoskeletal comorbidities [OR 0.91 (95 % CI 0.85-0.97); p = 0.005], anaesthesia [spinal vs. general, OR 0.86 (95 % CI 0.76-0.97); p = 0.02], and weekday of surgery [Thursday vs. Monday, OR 1.12 (95 % CI 1.02-1.23); p = 0.02].
conclusionsOlder age, female gender, ASA III/IV, people living alone, the presence of neurological comorbidities, general anaesthesia and surgery on Thursday were associated with an increased length of hospital stay. In clinical practice, the knowledge of factors associated with an increased length of hospital stay can be used to further optimize peri-operative protocols for patients at risk for an increased length of hospital stay after TKA. LEVEL OF EVIDENCE: II.
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