Introduction of the Direct Anterior Approach to Hip Replacement Into a High Volume Community Hospital: Effect on Length of Stay and Hospital Cost
试验速览
- 阶段
- 不适用
- 状态
- 撤回
- 发起方
- 试验地点
- 1
- 主要终点
- Length of Hospital Stay
研究概览
简要总结
The investigators propose to evaluate and compare the percentage of patients who are able to be discharged in less than 3 days after undergoing total hip arthroscopy through either a direct anterior or posterior approach, utilizing the identical post operative protocol. The investigators also propose to evaluate the costs associated with the two different approaches to hip replacement in the same group of patients. Post operative resource utilization, discharge disposition, and pain medicine requirement will also be evaluated.
详细描述
The investigators hypothesize that a higher proportion of patients treated with the direct anterior approach for hip replacement will be able to leave the hospital in less than 3 days when compared with a less invasive posterior approach. Secondly, decreased length of stay associated with the procedure may reduce hospital costs.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 40 Years 至 90 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Consecutive single surgeon series of patients who have undergone primary uncemented hip replacement at our institution through either a posterior approach or direct anterior approach on a fracture table. Posterior approach patient - most recent patient prior to March, 2010, compared with consecutive recent anterior approach patients with minimum of 6 month follow-up.
- •Diagnosis of osteoarthritis, inflammatory arthritis, or avascular necrosis.
- •No previous surgery on affected hip.
- •Age 40-90 at time of surgery
排除标准
- •Patient not permitted to bear full weight after the procedure, per post operative instructions
- •Hip replacement performed for acute fracture.
- •Previous hip surgery.
结局指标
主要结局
Length of Hospital Stay
时间窗: Retrospective review of hospital discharge records
The length of stay and proportion of patients who went home in less than 3 days will be determined for each group. To evaluate and compare the percentage of patients who are able to be discharged in less than 3 days after undergoing total hip arthroscopy through either a direct anterior or posterior approach, utilizing the identical post operative protocol.
Hospital cost
时间窗: Retrospective review of utilization records
Hospital cost analysis will be undertaken for each group.
次要结局
- Post Operative Pain Medication Utilization(After retrospective chart review is complete -- approximately 6 months)
- Utilization of inpatient physical therapy resources(Retrospective review -- of hospital discharge)