ArticleJournal of orthopaedic surgery and research2018
Factors influencing postoperative length of stay in an enhanced recovery after surgery program for primary total knee arthroplasty.
Article in Journal of orthopaedic surgery and research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.
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.
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.
Who cites it
27 citing papers in PubMed, 61 citations in OpenAlex.
- Safety and Efficacy of Perioperative Intravenous Meloxicam for Moderate-to-Severe Pain Management in Total Knee Arthroplasty: A Randomized Clinical Trial.Pain medicine (Malden, Mass.) · 2021Trial
- Intravenous and subsequent long-term oral tranexamic acid in enhanced-recovery primary total knee arthroplasty without the application of a tourniquet: a randomized placebo-controlled trial.BMC musculoskeletal disorders · 2019Trial
- Robotic-Assisted Primary Total Knee Arthroplasty is Associated With Decreased 90-Day Opioid Prescribing Patterns Compared to Manual Instrumentation.Arthroplasty today · 2025Article
- Predictors of Extended Length of Stay Following Open Reduction and Internal Fixation for Distal Radius Fractures.Journal of wrist surgery · 2025Article
- Pain and pain management following manual versus robotic assisted unicondylar knee arthroplasty.Journal of orthopaedics · 2025Article
- Preoperative range of motion as a predictor of postoperative outcomes in total knee arthroplasty under enhanced recovery after surgery protocols: Defining clinically relevant cut-offs.Journal of orthopaedics · 2025Article
- Clinical effectiveness of a standardized community-based supervised post-acute rehabilitation model after total knee arthropathy: A pilot study.The journal of the International Society of Physical and Rehabilitation Medicine · 2024Article
- Severe genu varus deformity does not affect enhanced recovery after surgery total knee arthroplasty outcomes.Archives of orthopaedic and trauma surgery · 2024Article
- Preoperative Education Prior to Hip or Knee Arthroplasty Is Associated With Home Discharge but Not Reduced Length of Stay.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2024Article
- Can pain be improved with retention of the posterior cruciate ligament during total knee arthroplasty?European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
- Pain Management in the Postoperative Period for People With Dementia: An Integrative Review.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2023Review
- Mapping the course to recovery: a prospective study on the anatomic distribution of early postoperative pain after total knee arthroplasty.Arthroplasty (London, England) · 2023Article
- Changes in proprioception at different time points following anterior cruciate ligament injury or reconstruction.Journal of orthopaedic surgery and research · 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
- Pain Course after Total Knee Arthroplasty within a Standardized Pain Management Concept: A Prospective Observational Study.Journal of clinical medicine · 2022Article
- Preoperative High Sleep Quality Predicts Further Decrease in Length of Stay after Total Joint Arthroplasty under Enhanced Recovery Short-stay Program: Experience in 604 Patients from a Single Team.Orthopaedic surgery · 2022Article
- Epidemiology of Obese Patients Undergoing Revision Total Knee Arthroplasty: Understanding Demographics, Comorbidities, and Propensity Weighted Analysis of Inpatient Outcomes.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2022Article
- A novel predictive model of hospital stay for Total Knee Arthroplasty patients.Frontiers in surgery · 2022Article
- A nomogram to predict the risk of prolonged length of stay following primary total hip arthroplasty with an enhanced recovery after surgery program.Journal of orthopaedic surgery and research · 2021Article
- Incidence and risk factors associated with human albumin administration following total joint arthroplasty: a multicenter retrospective study.Journal of orthopaedic surgery and research · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundHospital length of stay (LOS) after primary total knee arthroplasty (TKA) has decreased obviously following the implementation of enhanced recovery after surgery (ERAS) program in the last few years. However, there are still some patients that cannot be discharged at early time for a variety of reasons, and it is necessary to explore factors leading to prolonged LOS. Therefore, the purpose of this study was to identify the complete preoperative, perioperative, and postoperative factors associated with prolonged postoperative LOS (PLOS) after primary TKA in a detailed ERAS program.
methodsIn a consecutive series from July 2015 to March 2017, all patients who underwent unilateral elective primary TKA were included in the retrospective study. A PLOS greater than 3 days was considered a prolonged PLOS. Multivariable logistic regression analysis was performed to identify patient characteristics and relevant preoperative, perioperative, and postoperative variables that were associated with prolonged PLOS and postoperative complications.
resultsA total of 241 patients were included with a mean PLOS of 3.8 days. Prolonged PLOS was significantly associated with preoperative valgus deformity of the knee (OR 4.95, 95%CI 1.56-15.77, P = 0.007), increased serum level of interleukin-6 on postoperative day 1 (OR 1.01, 95%CI 1.00-1.03, P = 0.039), increased visual analogue scale pain score and serum level of C-reactive protein on postoperative day 3 (OR 2.56, 95%CI 1.28-5.13, P = 0.008; OR 1.01, 95%CI 1.00-1.03, P = 0.019), increased day to achieve 90° active knee flexion after surgery (OR 2.19, 95%CI 1.27-3.79, P = 0.005), and postoperative wound complications (OR 8.58, 95%CI 2.10-35.03, P = 0.003) and other minor complications (OR 6.04, 95%CI 2.40-15.19, P < 0.001). Preoperative pulmonary infection (OR 2.75, 95%CI 1.20-6.28, P = 0.016), American Society of Anesthesiologists score 3/4 (OR 2.14, 95%CI 1.01-4.52, P = 0.046), and utilization of catheter after surgery (OR 2.53, 95%CI 1.23-5.19, P = 0.012) were significantly associated with postoperative complications.
conclusionsMultiple factors were associated with prolonged PLOS and postoperative complications after TKA in the ERAS program. It is important to recognize all the factors to try to maximize the use of medical resources and ultimately optimize the care of our patients.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.