Please use this identifier to cite or link to this item: http://hdl.handle.net/11054/1544
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dc.contributorNassar, Islamen_US
dc.contributorFahey, Julieen_US
dc.contributorMitchell, Daviden_US
dc.date.accessioned2020-08-04T23:35:49Z-
dc.date.available2020-08-04T23:35:49Z-
dc.date.issued2020-
dc.identifier.govdoc01501en_US
dc.identifier.urihttp://hdl.handle.net/11054/1544-
dc.description.abstractAbstract Background We implemented local infiltration analgesia (LIA) as a technique of providing post‐operative pain management and early mobilization after arthroplasty surgery and have progressively found patients able to go home earlier. This study compares the national data on hip and knee arthroplasty provided by the Royal Australasian College of Surgeons and Medibank Private with our outcomes using LIA and rapid recovery. Methods Prospective study of one surgeon including 200 knees, and 165 hips in the two years till June 2016. Variables included in comparison to the two groups were: length of stay, percentage of patients transferred to rehabilitation or intensive care unit (ICU), readmitted within 30 days and average separation cost. Results Hip replacement median length of stay in our series was two nights versus five nights, inpatient rehabilitation 7% versus 36%, ICU admission zero versus 4%, and readmissions 3.9% versus 6.0%, the average hospital separation cost in our series was $17 813 versus $26 734. Knee replacement median length of stay in our study was one night versus five nights, ICU 0.5% versus 3%, rehabilitation 4.5% versus 43%, and readmission 6% versus 7%, the average hospital separation cost in our group was $16 437 versus $27 505. Conclusion The comprehensive approach of LIA and rapid recovery enables patients to have shorter hospitalization, lower rehabilitation incidence and a resultant reduction in health expenditure.en_US
dc.description.provenanceSubmitted by Gemma Siemensma (gemmas@bhs.org.au) on 2020-07-30T00:32:31Z No. of bitstreams: 0en
dc.description.provenanceApproved for entry into archive by Gemma Siemensma (gemmas@bhs.org.au) on 2020-08-04T23:35:49Z (GMT) No. of bitstreams: 0en
dc.description.provenanceMade available in DSpace on 2020-08-04T23:35:49Z (GMT). No. of bitstreams: 0 Previous issue date: 2020en
dc.titleRapid recovery following hip and knee arthroplasty using local infiltration analgesia: length of stay, rehabilitation protocol and cost savings.en_US
dc.typeJournal Articleen_US
dc.type.specifiedArticleen_US
dc.bibliographicCitation.titleANZ Journal of Surgeryen_US
dc.bibliographicCitation.volume90en_US
dc.bibliographicCitation.issue3en_US
dc.bibliographicCitation.stpage355en_US
dc.bibliographicCitation.endpage359en_US
dc.subject.healththesaurusECONOMICS OF HIP OR KNEE ARTHROPLASTYen_US
dc.subject.healththesaurusFAST TRACK TOTAL HIP OR KNEE REPLACEMENTen_US
dc.subject.healththesaurusINPATIENT REHABILITATION AFTER JOINT REPLACEMENTen_US
dc.subject.healththesaurusLOCAL INFILTRATION ANALGESIAen_US
dc.subject.healththesaurusRAPID RECOVERY HIP OR KNEE ARTHROPLASTYen_US
dc.identifier.doihttps://doi.org/10.1111/ans.15663en_US
Appears in Collections:Research Output

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