Predictive factors of length of hospital stay after primary total knee arthroplasty
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| 005 | 20210128100217.0 | ||
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| 008 | 210128e20150601xx s 000 0 eng | ||
| 024 | 7 | 0 | |a 10.1007/s00167-014-3313-x |2 doi |
| 035 | |a (NATIONALLICENCE)springer-10.1007/s00167-014-3313-x | ||
| 245 | 0 | 0 | |a Predictive factors of length of hospital stay after primary total knee arthroplasty |h [Elektronische Daten] |c [Lotte van den Belt, Peter van Essen, Petra Heesterbeek, Koen Defoort] |
| 520 | 3 | |a Purpose: To reduce post-operative length of hospital stay (PLOS) after primary total knee arthroplasty (TKA), the fast-track method was introduced which focusses on mobilising the patient within 2h after surgery. The aim of this prospective study was to identify the factors that predict PLOS using the fast-track method. Methods: In a consecutive series from July 2012 to November 2012, all patients who were admitted for a primary TKA (Genesis II prosthesis, Smith and Nephew, Memphis, TN) were included in a prospective study. Demographic and relevant preoperative, perioperative and post-operative parameters for PLOS were collected. Multivariate linear regression analysis was performed to identify predictive factors. Results: In total, 240 patients were included (59.6% female) with a median age of 64.1years (range 38-90). Median PLOS was 5days (range 3-19). The predictive model suggested that ASA score (American Society of Anesthesiologists' physical status classification) wound exudate and range of motion (ROM) at the day of surgery (day 0) were significant predictive factors for PLOS using the fast-track procedure after TKA (adjusted R 2=0.43). Conclusions: Predictive factors for PLOS after TKA were ASA score, wound exudate and ROM at day 0. Adjustments in patient counselling, nursing ward, mode of physiotherapist training and discharge criteria regarding wound exudate may result in a further reduction of post-operative length of hospital stay. Level of evidence: Prognostic studies: high-quality prospective cohort study, Level I. | |
| 540 | |a European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA), 2014 | ||
| 690 | 7 | |a Post-operative length of stay |2 nationallicence | |
| 690 | 7 | |a Fast-track |2 nationallicence | |
| 690 | 7 | |a Predictive factors |2 nationallicence | |
| 690 | 7 | |a Total knee arthroplasty |2 nationallicence | |
| 690 | 7 | |a ASA score |2 nationallicence | |
| 690 | 7 | |a Range of motion |2 nationallicence | |
| 700 | 1 | |a van den Belt |D Lotte |u Department of Orthopedics, Sint Maartenskliniek, Hengstdal 3, 6574 NA, Nijmegen, The Netherlands |4 aut | |
| 700 | 1 | |a van Essen |D Peter |u Department of Research, Sint Maartenskliniek, Hengstdal 3, 6574 NA, Nijmegen, The Netherlands |4 aut | |
| 700 | 1 | |a Heesterbeek |D Petra |u Department of Research, Sint Maartenskliniek, Hengstdal 3, 6574 NA, Nijmegen, The Netherlands |4 aut | |
| 700 | 1 | |a Defoort |D Koen |u Department of Orthopedics, Sint Maartenskliniek, Hengstdal 3, 6574 NA, Nijmegen, The Netherlands |4 aut | |
| 773 | 0 | |t Knee Surgery, Sports Traumatology, Arthroscopy |d Springer Berlin Heidelberg |g 23/6(2015-06-01), 1856-1862 |x 0942-2056 |q 23:6<1856 |1 2015 |2 23 |o 167 | |
| 856 | 4 | 0 | |u https://doi.org/10.1007/s00167-014-3313-x |q text/html |z Onlinezugriff via DOI |
| 898 | |a BK010053 |b XK010053 |c XK010000 | ||
| 900 | 7 | |a Metadata rights reserved |b Springer special CC-BY-NC licence |2 nationallicence | |
| 908 | |D 1 |a review-article |2 jats | ||
| 949 | |B NATIONALLICENCE |F NATIONALLICENCE |b NL-springer | ||
| 950 | |B NATIONALLICENCE |P 856 |E 40 |u https://doi.org/10.1007/s00167-014-3313-x |q text/html |z Onlinezugriff via DOI | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a van den Belt |D Lotte |u Department of Orthopedics, Sint Maartenskliniek, Hengstdal 3, 6574 NA, Nijmegen, The Netherlands |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a van Essen |D Peter |u Department of Research, Sint Maartenskliniek, Hengstdal 3, 6574 NA, Nijmegen, The Netherlands |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Heesterbeek |D Petra |u Department of Research, Sint Maartenskliniek, Hengstdal 3, 6574 NA, Nijmegen, The Netherlands |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Defoort |D Koen |u Department of Orthopedics, Sint Maartenskliniek, Hengstdal 3, 6574 NA, Nijmegen, The Netherlands |4 aut | ||
| 950 | |B NATIONALLICENCE |P 773 |E 0- |t Knee Surgery, Sports Traumatology, Arthroscopy |d Springer Berlin Heidelberg |g 23/6(2015-06-01), 1856-1862 |x 0942-2056 |q 23:6<1856 |1 2015 |2 23 |o 167 | ||