56-286
Evaluación del protocolo fast-track para artroplastia total de rodilla: impacto sobre estancia hospitalaria, visitas al servicio de urgencias e infección
Evaluation of the fast-track protocol for total knee arthroplasty: impact on hospital stay, visits to the emergency department and infection
MOLINA PÉREZ M, SEGARRA MUÑOZ B, CORTÉS TRONCH V, SÁNCHEZ CORTÉS A, FERNÁNDEZ GARCÍA E. DEPARTAMENTO DE CIRUGÍA ORTOPÉDICA Y TRAUMATOLOGÍA DEL HOSPITAL UNIVERSITARIO DE LA RIBERA. ALZIRA, VALENCIA
Recepción:
25/01/2022
Aceptación:
25/01/2022
Publicación:
23/05/2022
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Resumen (ES)
Objectives: To analyze the differences in length of stay, readmission and infection in patients undergoing total knee
arthroplasty before and after the implementation of a fast-track protocol. Material and methods. Retrospective observational
follow-up study in 777 patients. The variables under study were: length of stay, readmission and total number of Emergency
Department (ED) visits and rate of infection. Results. A homogeneous sample of 777 patients was obtained with women
predominance and mean age of 70 years. The values before and after fast-track implantation were: length of stay 5,1 vs 3,2
days (p<0,001), patients underwent readmission 12,2% vs 21,9% (p<0,001), ED visits 74 vs 118 (p<0,001). Rate of infection
was similar in both groups for all levels. Conclusions. Fast-track protocols improve length of stay without affecting the rate of
infection. Special care should be given to the increased readmission.
arthroplasty before and after the implementation of a fast-track protocol. Material and methods. Retrospective observational
follow-up study in 777 patients. The variables under study were: length of stay, readmission and total number of Emergency
Department (ED) visits and rate of infection. Results. A homogeneous sample of 777 patients was obtained with women
predominance and mean age of 70 years. The values before and after fast-track implantation were: length of stay 5,1 vs 3,2
days (p<0,001), patients underwent readmission 12,2% vs 21,9% (p<0,001), ED visits 74 vs 118 (p<0,001). Rate of infection
was similar in both groups for all levels. Conclusions. Fast-track protocols improve length of stay without affecting the rate of
infection. Special care should be given to the increased readmission.
Palabras clave (ES):
Readmisión
Rodilla
Artroplastia
Fast-Track
Resumen (EN)
Objectives: To analyze the differences in length of stay, readmission and infection in patients undergoing total knee
arthroplasty before and after the implementation of a fast-track protocol. Material and methods. Retrospective observational
follow-up study in 777 patients. The variables under study were: length of stay, readmission and total number of Emergency
Department (ED) visits and rate of infection. Results. A homogeneous sample of 777 patients was obtained with women
predominance and mean age of 70 years. The values before and after fast-track implantation were: length of stay 5,1 vs 3,2
days (p<0,001), patients underwent readmission 12,2% vs 21,9% (p<0,001), ED visits 74 vs 118 (p<0,001). Rate of infection
was similar in both groups for all levels. Conclusions. Fast-track protocols improve length of stay without affecting the rate of
infection. Special care should be given to the increased readmission.
arthroplasty before and after the implementation of a fast-track protocol. Material and methods. Retrospective observational
follow-up study in 777 patients. The variables under study were: length of stay, readmission and total number of Emergency
Department (ED) visits and rate of infection. Results. A homogeneous sample of 777 patients was obtained with women
predominance and mean age of 70 years. The values before and after fast-track implantation were: length of stay 5,1 vs 3,2
days (p<0,001), patients underwent readmission 12,2% vs 21,9% (p<0,001), ED visits 74 vs 118 (p<0,001). Rate of infection
was similar in both groups for all levels. Conclusions. Fast-track protocols improve length of stay without affecting the rate of
infection. Special care should be given to the increased readmission.
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