scholarly journals Enhanced Recovery Program: Does Preoperative Education Reduces Length of Hospital Stay in Primary Hip and Knee Arthroplasty?

Cureus ◽  
2021 ◽  
Author(s):  
Mahmood Ahmad ◽  
Hamood Ur Rehman ◽  
Aijaz Ali Shaikh
2013 ◽  
Vol 84 (1) ◽  
pp. 40-43 ◽  
Author(s):  
Terence Savaridas ◽  
Ignacio Serrano-Pedraza ◽  
Sameer K Khan ◽  
Kate Martin ◽  
Ajay Malviya ◽  
...  

2016 ◽  
Vol 86 (6) ◽  
pp. 475-479 ◽  
Author(s):  
Marinus D. J. Stowers ◽  
Lavell Manuopangai ◽  
Andrew G. Hill ◽  
Jonathon R. Gray ◽  
Brendan Coleman ◽  
...  

2010 ◽  
Vol 76 (10) ◽  
pp. 1158-1162 ◽  
Author(s):  
Armen Aboulian ◽  
Zailani Hassan ◽  
Matthew Y.C. Lin ◽  
Amy H. Kaji ◽  
Ravin R. Kumar

Enhanced recovery programs after colorectal surgery have gained acceptance recently as they have shown a decrease length of hospital stay. However, these pathways require strict adherence to standardized programs with patient education and high compliance. This study was designed to assess the feasibility of such a program in a large county hospital. A retrospective review was performed of 54 consecutive patients who underwent laparoscopic or open segmental colorectal resection without an ostomy. The first 27 patients were treated in a conventional manner, whereas the latter 27 were treated using a protocol promoting early feeding and ambulation with decreased intravenous fluids and narcotic use. There were no baseline differences between the groups, however, there was a significant difference in the patients treated with the enhanced recovery program in terms of less intravenous fluids administered in surgery ( P = 0.001), and over the subsequent 3 days ( P = 0.0017), with a decrease in length of hospital stay of 4 compared with 6 days ( P = 0.003). There were no differences in terms of complication and readmission rates. Based on this study, we conclude that strict adherence to a standard enhanced recovery program was effective in reducing hospital stay in patients undergoing colorectal resection without any increase in complications.


2021 ◽  
Vol 108 (Supplement_1) ◽  
Author(s):  
M Ahmad ◽  
H Rahman ◽  
N Awan

Abstract Introduction Total knee and hip arthroplasty significantly improve quality of life in people suffering from end-stage hip & knee arthritides. Enhanced recovery programs have shown improved outcomes following elective arthroplasty by decreasing patients anxiety, postoperative pain and reducing the length of hospital stay (LOS). The aim of our study is to evaluate the impact of preoperative education programs on length of hospital stay in patients undergoing hip & knee arthroplasty. Method Retrospective data was collected from a consecutive series of 520 patients' charts and Irish National Orthopedic Register (INOR) who underwent Hip or Knee arthroplasty from January 1, 2018, to December 31, 2018, in Our Lady Hospital, Navan. The length of stay study compared two hundred and twenty-six patients in the Educational Group (EG) who attended the Hip & Knee School (Preoperative Education Class) with 294 patients in the Conventional Group (CG) who did not attend the hip and knee educational programme. Result We identified that Length of Hospital Stay decreased to 5.2 days in Educational Group from 5.5 days in Conventional Group (P-value equals to 0.26, statistically insignificant, t = 1.1093 df = 518), with a mean difference of only 0.3 days (95% confidence interval). Conclusion Preoperative education does not reduce the length of hospital stay in primary hip & knee arthroplasty. Take-home message Preoperative education has no role in reducing hospital stay in Arthroplasty patients.


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