Comparative analysis investigating the impact of implant design on hospital length of stay and discharge destination in a Dutch hospital with an established enhanced recovery program
Journal of Arthroplasty Aug 30, 2019
Meermans G, et al. - A retrospective review of 200 consecutive adult patients who underwent primary TKA in a Dutch hospital between 2015 and 2017 using either the comparator device or the control device was done by the researchers to evaluate the influence of implant design on hospital length of stay (LOS), surgery time, and discharge destination (home vs a rehabilitation center) in a Dutch hospital with an established enhanced recovery program and short baseline LOS. A significantly shorter LOS was observed in patients who received a comparator device vs the control group. In the comparator device group, the proportion of patients discharged to a rehabilitation center, instead of home, was also significantly lower. No variation in surgical time between the two groups was noted. None of the sensitivity analyses performed influenced the original analysis outcome. Thus, a modest yet important decrease in length of stay and a lower rate of discharge to a rehabilitation center in the comparator device group was exhibited in this study.
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