Evidence map›Paper›PMID 39845254›Full record

ArticleCureus2024

Patient-Centered Discharge and Postoperative Length of Hospital Stay in Primary Total Knee Arthroplasty.

Yoshinori Ishii, Hideo Noguchi, Junko Sato, Ikuko Takahashi, Kei Ishii, Kai Ishii, Hana Ishii, Shin-Ichi Toyabe

Abstract read
In one paragraph

Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Review
  2. Article
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

8 authors.

Yoshinori IshiiOrthopaedic Surgery, Ishii Orthopaedic and Rehabilitation Clinic, Gyoda, JPN.
Hideo NoguchiOrthopaedic Surgery, Ishii Orthopaedic and Rehabilitation Clinic, Gyoda, JPN.
Junko SatoOrthopaedic Surgery, Ishii Orthopaedic and Rehabilitation Clinic, Gyoda, JPN.
Ikuko TakahashiOrthopaedic Surgery, Ishii Orthopaedic and Rehabilitation Clinic, Gyoda, JPN.
Kei IshiiBreast Surgery, Ishii Orthopaedic and Rehabilitation Clinic, Gyoda, JPN.
Kai IshiiOrthopaedic Surgery, Ishii Orthopaedic and Rehabilitation Clinic, Gyoda, JPN.
Hana IshiiPlastic and Reconstructive Surgery, Ishii Orthopaedic and Rehabilitation Clinic, Gyoda, JPN.
Shin-Ichi ToyabeDivision of Information Science and Biostatistics, Niigata University Hospital, Niigata, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background This study aimed to identify factors affecting the length of hospital stay (LOS) after total knee arthroplasty (TKA) in patients classified as American Society of Anesthesiologists (ASA) physical status I or II, with a focus on patient-dependent determination of discharge. The goal was to explore strategies to shorten LOS. Methods A retrospective cohort study was conducted on 398 patients (494 knees) who underwent primary TKA. Factors associated with LOS were analyzed, including age, body mass index, operative time, clinical scores, anemia, albumin levels, age group, sex, and ASA physical status. Data are presented as medians (interquartile range). Results The median LOS for all patients was 35 days (range: 29-42 days). Patients aged 80 and over had a significantly longer LOS (39 days; range: 31-45) compared to younger age groups (vs. less than 60s: 32 days (range: 26-37 days), p=0.016; vs. 60s: 33 days (range: 30-38 days), p<0.001; vs. 70s: 35 days (range: 29-43 days), p=0.033). Females also had a significantly longer LOS (36 days [range: 30-43 days]) compared to males (31 days [range: 24-40 days]; p<0.001). Multivariate analysis confirmed that being aged 80 or over (p<0.001) and being female (p<0.001) were significantly associated with longer LOS. Conclusion Postoperative interventions tailored for patients aged 80 years or older and females may be effective in shortening LOS after TKA. A patient-centered approach suggests a maximum LOS of approximately five weeks. Balancing provider-driven early discharge with patient-centered extended stays is crucial for optimizing postoperative care.

Indexed as

american society of anesthesiologists physical statushealthcare costslength of staypatient-centered caretotal knee arthroplasty

Identifiers

PMID39845254
PMCPMC11753790

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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.