Comparing outcomes between enhanced recovery after surgery and traditional protocols in total hip arthroplasty : a retrospective cohort study

dc.contributor.authorImmelman, R.J.
dc.contributor.authorDe Vos, J.N.
dc.contributor.authorVenter, J.H.
dc.date.accessioned2019-08-02T14:46:20Z
dc.date.available2019-08-02T14:46:20Z
dc.date.issued2018-03
dc.description.abstractBACKGROUND : Traditionally, hip replacement surgery was associated with prolonged recovery and rehabilitation in a hospital setting. Prolonged stay is causing growing concern internationally, where there is an increased drive to cost-effective practice and a realisation that prolonged hospitalisation is not required and may be detrimental. Enhanced Recovery After Surgery (ERAS) protocols address this problem by advocating evidence-based multidisciplinary peri-operative management pathways associated with rapid recovery, without compromising safety. Despite proven efficacy, these protocols are not being implemented in most South African orthopaedic practices. METHODS : Data from two cohorts (80 patients) undergoing elective primary total hip arthroplasty were included. One group was rehabilitated according to a prolonged stay protocol and the other according to ERAS. Cohorts were matched according to demographics and comorbidities. The functional outcome was compared using the Oxford Hip Score. The 30-day readmission rate was compared to assess the safety of early discharge, and the length of stay of patients was compared. RESULTS : The readmission rate and Oxford Hip Scores showed no clinically significant difference between the cohorts. The length of stay was markedly decreased in the ERAS group. CONCLUSION : ERAS protocols can decrease the length of stay in elective total hip replacement without compromising patient safety or functional outcome. LEVEL OF EVIDENCE : Level 4en_ZA
dc.description.departmentOrthopaedic Surgeryen_ZA
dc.description.librarianam2019en_ZA
dc.description.urihttp://journal.saoa.org.zaen_ZA
dc.identifier.citationImmelman RJ, de Vos JN, Venter JH. Comparing outcomes between enhanced recovery after surgery and traditional protocols in total hip arthroplasty: a retrospective cohort study. South African Orthopaedic Journal 2018;17(1):11-16. http://dx.DOI.org/ 10.17159/2309-8309/2018/v17n1a1.en_ZA
dc.identifier.issn1681-150X (print)
dc.identifier.issn2309-8309 (online)
dc.identifier.other10.17159/2309-8309/2018/v17n1a1
dc.identifier.urihttp://hdl.handle.net/2263/70882
dc.language.isoenen_ZA
dc.publisherSouth African Orthopaedic Associationen_ZA
dc.rights© 2018 Immelman RJ, de Vos JN, Venter JH. This is an open-access article distributed under the terms of the Creative Commons Attribution Licence.en_ZA
dc.subjectEnhanced recoveryen_ZA
dc.subjectRapid recoveryen_ZA
dc.subjectTotal hip replacementen_ZA
dc.subjectArthroplastyen_ZA
dc.subjectHip replacement surgeryen_ZA
dc.subjectEnhanced recovery after surgery (ERAS)en_ZA
dc.titleComparing outcomes between enhanced recovery after surgery and traditional protocols in total hip arthroplasty : a retrospective cohort studyen_ZA
dc.typeArticleen_ZA

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