ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2023
Modifiable factors influencing length of stay after total knee arthroplasty.
Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A systematic review and meta-analysis on the effects of intravenous dexamethasone on postoperative outcomes in patients undergoing total knee arthroplasty.Langenbeck's archives of surgery · 2025Pooled it
- Article
- Bayesian Analysis of Length of Stay Determinants in ERAS-Guided Hip Arthroplasty.Healthcare (Basel, Switzerland) · 2025Article
- Effect of baseline values on inpatient rehabilitation outcomes after total knee arthroplasty: a retrospective observational study.Journal of rehabilitation medicine · 2025Observational
- Patient-Centered Discharge and Postoperative Length of Hospital Stay in Primary Total Knee Arthroplasty.Cureus · 2024Article
- Early ambulation after total knee arthroplasty: a retrospective single-center study.Journal of orthopaedic surgery and research · 2024Article
- A balance focused biometric does not predict rehabilitation needs and outcomes following total knee arthroplasty.BMC musculoskeletal disorders · 2024Article
- Radiofrequency ablation prior to total knee arthroplasty does not improve post-surgical pain or recovery: a double-blinded, multi-center, randomized clinical trial.Annals of joint · 2023Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThis cohort study aims to investigate the current Rapid-Recovery-(RR)-pathway at an orthopaedic surgery hospital centre and to identify preoperative, intraoperative, and postoperative factors that are significantly associated with prolonged hospital Length of Stay (LOS) after total knee arthroplasty (TKA).
methodA total of 194 patients undergoing primary TKA were included in this retrospective study. Sociodemographic data documented were age, gender, body mass index, living situation, and the clinical diagnosis. Factors affecting patient constitution and laboratory data for serum level of Hb and CRP were assessed preoperatively and postoperatively. In addition, we collected patients' data for attendance of patient education, planned discharge to rehabilitation facilities, and levels of postoperative pain.
resultsIn univariate group comparisons, prolonged LOS was significantly associated with increased age, elevated C-reactive-Protein-level, and decreased haemoglobin level. Patients experiencing prolonged LOS also showed significant association with higher prevalence of comorbidities, female gender, living as widow, preoperative anticoagulation, requirement of blood transfusion, and planned discharge to rehabilitation facilities. However, after multivariate logistic regression, only planned discharge to rehabilitation facility, non-attendance of preoperative patient education, female gender, and increased pain levels were identified as significant predictors for prolonged LOS.
conclusionEfficient pain therapy and thorough patient education have a positive effect on treatment outcome after TKA in a RR-setting.
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