Comparing outcomes between enhanced recovery after surgery and traditional protocols in total hip arthroplasty : a retrospective cohort study
dc.contributor.author | Immelman, R.J. | |
dc.contributor.author | De Vos, J.N. | |
dc.contributor.author | Venter, J.H. | |
dc.date.accessioned | 2019-08-02T14:46:20Z | |
dc.date.available | 2019-08-02T14:46:20Z | |
dc.date.issued | 2018-03 | |
dc.description.abstract | BACKGROUND : 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 4 | en_ZA |
dc.description.department | Orthopaedic Surgery | en_ZA |
dc.description.librarian | am2019 | en_ZA |
dc.description.uri | http://journal.saoa.org.za | en_ZA |
dc.identifier.citation | Immelman 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.issn | 1681-150X (print) | |
dc.identifier.issn | 2309-8309 (online) | |
dc.identifier.other | 10.17159/2309-8309/2018/v17n1a1 | |
dc.identifier.uri | http://hdl.handle.net/2263/70882 | |
dc.language.iso | en | en_ZA |
dc.publisher | South African Orthopaedic Association | en_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.subject | Enhanced recovery | en_ZA |
dc.subject | Rapid recovery | en_ZA |
dc.subject | Total hip replacement | en_ZA |
dc.subject | Arthroplasty | en_ZA |
dc.subject | Hip replacement surgery | en_ZA |
dc.subject | Enhanced recovery after surgery (ERAS) | en_ZA |
dc.title | Comparing outcomes between enhanced recovery after surgery and traditional protocols in total hip arthroplasty : a retrospective cohort study | en_ZA |
dc.type | Article | en_ZA |