Preoperative Pain Level and Patient Expectation Predict Hospital Length of Stay After Total Hip Arthroplasty

被引：20

作者：

Halawi, Mohamad J. ^{[1
]}

Vovos, Tyler J. ^{[2
]}

Green, Cindy L. ^{[3
]}

Wellman, Samuel S. ^{[1
]}

Attarian, David E. ^{[1
]}

Bolognesi, Michael P. ^{[1
]}

机构：

[1] Duke Univ, Med Ctr, Dept Orthopaed Surg, Durham, NC 27710 USA

[2] Duke Univ, Sch Med, Durham, NC 27710 USA

[3] Duke Univ, Med Ctr, Dept Biostat & Bioinformat, Durham, NC 27710 USA

来源：

JOURNAL OF ARTHROPLASTY | 2015年 / 30卷 / 04期

关键词：

hip; arthroplasty; length of stay; preoperative predictors; pain; patient expectation; TOTAL JOINT ARTHROPLASTY; COST-EFFECTIVENESS; KNEE ARTHROPLASTY; REPLACEMENT; OUTCOMES; REHABILITATION; COMORBIDITY; MORBIDITY; PROGRAM; LIFE;

D O I：

10.1016/j.arth.2014.10.033

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

The purpose of this study was to identify preoperative predictors of length of stay after primary total hip arthroplasty in a patient population reflecting current trends toward shorter hospitalization and using readily obtainable factors that do not require scoring systems. A retrospective review of 112 consecutive patients was performed. High preoperative pain level and patient expectation of discharge to extended care facilities (ECFs) were the only significant multivariable predictors of hospitalization extending beyond 2 days (P = 0.001 and P < 0.001 respectively). Patient expectation remained significant after adjusting for Medicare's 3-day requirement for discharge to ECFs (P < 0.001). The study was adequately powered to analyze the variables in the multivariable logistic regression model, which had a concordance index of 0.857. (C) 2014 Elsevier Inc. All rights reserved.

引用

页码：555 / 558

页数：4

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