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Several patient, surgical variables correlated with longer length of stay after THA
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Recently published results identified several patient characteristics and comorbidities, as well as perioperative surgical variables, that correlated with increased length of stay among patients who underwent total hip arthroplasty in an enhanced recovery after surgery program.
Researchers identified clinical measures differentiating a 1-day length of stay cohort from that of a length of stay longer than 1 day among 273 patients (57% were women) who underwent primary total hip arthroplasty from April 2014 to January 2015. Researchers also calculated direct medical costs for services billed during hospitalization.
Logistic regression showed older age, increased BMI, female gender, an American Society of Anesthesiologists score 3 or 4 and coronary artery disease correlated with a length of stay longer than 1 day. According to results, general anesthesia, longer operative time and increased blood loss led to a length of stay of 2 days or longer after investigators adjusted findings for age, BMI and gender. Researchers noted patients who did not ambulate on the day of surgery had a strong correlation with a length of stay of 2 days or longer. Patients with a 2-day length of stay had hospital costs approximately $2,900 higher, according to results. – by Casey Tingle
Disclosures: Sibia reports no relevant financial disclosures. Please see the full study for a list of all other authors’ relevant financial disclosures.
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