Reduced Length of Hospitalization in Primary Total Knee Arthroplasty Patients Using an Updated Enhanced Recovery After Orthopedic Surgery (ERAS) Pathway

David B. Auyong, Cindy Jo Allen, Joshuel A. Pahang, Jonathan J. Clabeaux, Kevin M. MacDonald, Neil A. Hanson

Research output: Contribution to journalArticlepeer-review

Abstract

Decreasing hospital length of stay may attenuate costs associated with total knee arthroplasty. The purpose of this study was to determine if updates to an existing orthopedic enhanced recovery after surgery (ERAS) pathway would improve length of hospitalization. Clinical and demographic data were collected on 252 primary total knee arthroplasties between January 2012 and July 2013. Pre-updated and post-updated ERAS pathway cohorts were analyzed for length of stay, clinical outcomes, and re-admissions. The mean length of stay decreased from 76.6 hours to 56.1 hours after implementation of the evidence-based orthopedic enhanced recovery after surgery pathway (P< 0.001). This improvement was possible without a concomitant increase in readmission rates.

Original languageEnglish (US)
Pages (from-to)1705-1709
Number of pages5
JournalJournal of Arthroplasty
Volume30
Issue number10
DOIs
StatePublished - Oct 1 2015
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2015 Elsevier Inc.

Keywords

  • Adductor canal block
  • Enhanced recovery after surgery (ERAS)
  • Length of stay
  • Primary total knee arthroplasty
  • Readmissions

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