Order of THA, TKA does not impact length of stay in patients with arthritis
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Based on cost-related length of stay and discharge disposition in patients who had coexisting hip arthritis and knee arthritis, results of a recently published study do not show a preference for total hip arthroplasty or total knee arthroplasty as the first procedure performed.
Using a total joint arthroplasty database, researchers identified 211 patents who underwent THA and TKA within 18 months. Of the 211 patients, 124 patients underwent THA first and 87 patients underwent TKA first. Data on age, BMI, time between cases, length of stay, discharge disposition and the number of 90-day adverse postoperative events, such as deep infection, fracture, hardware failure, urinary tract infection, other return to the OR, emergency department visit, readmission or death, were collected.
Results showed groups were not different with regard to age or BMI. Time between the first and second arthroplasty was significantly longer in patients who underwent TKA first by a mean of 2 months. No difference was seen in the 90-day adverse postoperative events after TKA whether it was performed first or second. Similarly, there was no difference in 90-day adverse postoperative events after TKA whether it was performed first or second. No difference was seen in the discharge disposition or length of stay between the groups for the first procedure or second procedure. – by Monica Jaramillo
Disclosures: The researchers report no relevant financial disclosures.
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