Does Time Spent in the Post-Anesthesia Care Unit Affect Hospital Lengths of Stay following Primary Total Knee Arthroplasty?
| العنوان: | Does Time Spent in the Post-Anesthesia Care Unit Affect Hospital Lengths of Stay following Primary Total Knee Arthroplasty? |
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| المؤلفون: | Michael J. Sayegh, Luke J. Garbarino, Peter A. Gold, Hiba K. Anis, Zhongming Chen, Nipun Sodhi, Jonathan R. Danoff, Michael A. Mont |
| المصدر: | The Journal of Knee Surgery. |
| بيانات النشر: | Georg Thieme Verlag KG, 2022. |
| سنة النشر: | 2022 |
| مصطلحات موضوعية: | Orthopedics and Sports Medicine, Surgery |
| الوصف: | Given the current healthcare economic environment, substantial efforts have been made to help streamline the in-hospital care for total knee arthroplasty (TKA) patients. While potential cost-reducing factors have been identified in the literature, analyses specifically considering post-anesthesia care unit (PACU) lengths of stay (LOS) are lacking. Therefore, the purpose of this study was to identify factors associated with (1) longer PACU LOS as well as (2) longer Hospital LOS. Prospectively collected TKA data from seven participating hospitals within a large health system were evaluated for patient demographics, body mass indices, Charlson Comorbidity Indices (CCI), surgeon volumes/training, admission types, anesthesia types, PACU LOS, and overall hospital LOS. Complete data was available for 1,690 patients (1,082 females, mean age: 67 years). Univariate and multivariate analytical models were constructed to identify which factors were predictive of longer PACU and overall hospital LOS. Same-day admissions, higher volume surgeons (≥ 100 cases per year), fellowship-trained arthroplasty surgeons, and longer operative times were associated with longer PACU LOS (p 0.05). These data identify associative factors for PACU LOS, as well as the influence of time spent in the PACU on overall hospital LOS. Interestingly, this analysis revealed that patients of arthroplasty fellowship-trained and higher-volume surgeons had longer PACU LOS; however, this could be explained by the observation that these particular surgeons tend to perform more complex deformity cases. Also of importance, increased PACU LOS, meaning the patient spent more time in a high-monitored setting immediately after surgery, did not necessarily confer a longer overall hospital LOS. Based on these data, it may be more beneficial to identify alternate sources than time spent in the operating room or PACU to potentially help reduce overall hospital LOS. Level of Evidence II, prospective cohort |
| تدمد: | 1938-2480 1538-8506 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::2cbd02c5cd30bdb8a49b950c7e2bf8e8 https://doi.org/10.1055/s-0042-1759791 |
| رقم الأكسشن: | edsair.doi.dedup.....2cbd02c5cd30bdb8a49b950c7e2bf8e8 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 19382480 15388506 |
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