Hospital Outcome After Emergent vs Elective Revision Total Hip Arthroplasty
Abstract This is a retrospective review of inpatient outcomes, based upon emergent or elective admission for revision total hip arthroplasty (THA) procedures performed between 2000 and 2006. Three hundred forty-two revision THA procedures (291 elective, 51 emergent) were identified. Emergent revisio...
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| Veröffentlicht in: | The Journal of arthroplasty 2010-08, Vol.25 (5), p.826-828 |
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| container_title | The Journal of arthroplasty |
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| creator | Sams, Jacob D., MD Milbrandt, Joseph C., PhD Froelich, John M., MD Rainville, Aundrea D., MD Allan, D. Gordon, MD |
| description | Abstract This is a retrospective review of inpatient outcomes, based upon emergent or elective admission for revision total hip arthroplasty (THA) procedures performed between 2000 and 2006. Three hundred forty-two revision THA procedures (291 elective, 51 emergent) were identified. Emergent revisions were more likely to be older (69.9 vs 62.7; P = .003), women (72% vs 54%), require longer hospitalization (8.3 vs 3.8 days), and require a skilled care facility at discharge. No significant difference was observed in mortality. We identified 2 basic outcome measures suggesting that patients undergoing emergent revision will have a more complex hospitalization and require more assistance at discharge. Clarifying emergent vs elective THA at admission may assist in better planning and assessment of patient needs regarding rehabilitation, hospital management, and discharge planning. |
| doi_str_mv | 10.1016/j.arth.2010.01.097 |
| format | Article |
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Gordon, MD</creator><creatorcontrib>Sams, Jacob D., MD ; Milbrandt, Joseph C., PhD ; Froelich, John M., MD ; Rainville, Aundrea D., MD ; Allan, D. Gordon, MD</creatorcontrib><description>Abstract This is a retrospective review of inpatient outcomes, based upon emergent or elective admission for revision total hip arthroplasty (THA) procedures performed between 2000 and 2006. Three hundred forty-two revision THA procedures (291 elective, 51 emergent) were identified. Emergent revisions were more likely to be older (69.9 vs 62.7; P = .003), women (72% vs 54%), require longer hospitalization (8.3 vs 3.8 days), and require a skilled care facility at discharge. No significant difference was observed in mortality. We identified 2 basic outcome measures suggesting that patients undergoing emergent revision will have a more complex hospitalization and require more assistance at discharge. Clarifying emergent vs elective THA at admission may assist in better planning and assessment of patient needs regarding rehabilitation, hospital management, and discharge planning.</description><identifier>ISSN: 0883-5403</identifier><identifier>EISSN: 1532-8406</identifier><identifier>DOI: 10.1016/j.arth.2010.01.097</identifier><identifier>PMID: 20378305</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Age Factors ; Aged ; Aged, 80 and over ; arthroplasty ; Arthroplasty, Replacement, Hip - mortality ; Arthroplasty, Replacement, Hip - rehabilitation ; Arthroplasty, Replacement, Hip - statistics & numerical data ; elective ; Elective Surgical Procedures ; Emergency Medical Services ; emergent ; Female ; Humans ; Inpatients ; Length of Stay ; Male ; Middle Aged ; Orthopedics ; Osteoarthritis, Hip - surgery ; Outcome Assessment (Health Care) ; Patient Discharge ; Reoperation ; Retrospective Studies ; revision ; Survival Rate ; THA ; Treatment Outcome</subject><ispartof>The Journal of arthroplasty, 2010-08, Vol.25 (5), p.826-828</ispartof><rights>Elsevier Inc.</rights><rights>2010 Elsevier Inc.</rights><rights>Copyright (c) 2010 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c410t-854606ac44973835357cab81909154f8d355ec01b08465119961536de36ddfb33</citedby><cites>FETCH-LOGICAL-c410t-854606ac44973835357cab81909154f8d355ec01b08465119961536de36ddfb33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0883540310001300$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20378305$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sams, Jacob D., MD</creatorcontrib><creatorcontrib>Milbrandt, Joseph C., PhD</creatorcontrib><creatorcontrib>Froelich, John M., MD</creatorcontrib><creatorcontrib>Rainville, Aundrea D., MD</creatorcontrib><creatorcontrib>Allan, D. Gordon, MD</creatorcontrib><title>Hospital Outcome After Emergent vs Elective Revision Total Hip Arthroplasty</title><title>The Journal of arthroplasty</title><addtitle>J Arthroplasty</addtitle><description>Abstract This is a retrospective review of inpatient outcomes, based upon emergent or elective admission for revision total hip arthroplasty (THA) procedures performed between 2000 and 2006. Three hundred forty-two revision THA procedures (291 elective, 51 emergent) were identified. Emergent revisions were more likely to be older (69.9 vs 62.7; P = .003), women (72% vs 54%), require longer hospitalization (8.3 vs 3.8 days), and require a skilled care facility at discharge. No significant difference was observed in mortality. We identified 2 basic outcome measures suggesting that patients undergoing emergent revision will have a more complex hospitalization and require more assistance at discharge. Clarifying emergent vs elective THA at admission may assist in better planning and assessment of patient needs regarding rehabilitation, hospital management, and discharge planning.</description><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>arthroplasty</subject><subject>Arthroplasty, Replacement, Hip - mortality</subject><subject>Arthroplasty, Replacement, Hip - rehabilitation</subject><subject>Arthroplasty, Replacement, Hip - statistics & numerical data</subject><subject>elective</subject><subject>Elective Surgical Procedures</subject><subject>Emergency Medical Services</subject><subject>emergent</subject><subject>Female</subject><subject>Humans</subject><subject>Inpatients</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Orthopedics</subject><subject>Osteoarthritis, Hip - surgery</subject><subject>Outcome Assessment (Health Care)</subject><subject>Patient Discharge</subject><subject>Reoperation</subject><subject>Retrospective Studies</subject><subject>revision</subject><subject>Survival Rate</subject><subject>THA</subject><subject>Treatment Outcome</subject><issn>0883-5403</issn><issn>1532-8406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUFr3DAQhUVoSbZJ_0APxbeevJ2xJFuGUljCplsaCLTpWXjlcautbbmSvLD_PjKb9tBDD2JAvPeY-R5jbxDWCFi-P6wbH3-uC0gfgGuoqwu2QsmLXAkoX7AVKMVzKYBfsVchHAAQpRSX7KoAXikOcsW-7FyYbGz67GGOxg2UbbpIPtsO5H_QGLNjyLY9mWiPlH2low3WjdmjWxw7O2WbtIF3U9-EeLphL7umD_T6eV6z73fbx9tdfv_w6fPt5j43AiHmSooSysYIUVdcccllZZq9whpqlKJTLZeSDOAelCglYl2X6aiypfTabs_5NXt3zp28-z1TiHqwwVDfNyO5OeiKc1lXhcCkLM5K410Injo9eTs0_qQR9MJQH_TCUC8MNaBODJPp7XP8vB-o_Wv5Ay0JPpwFlI48WvI6GEujodb6REq3zv4__-M_dtPb0Zqm_0UnCgc3-zHh06hDoUF_W1pcSkRIBXIA_gQYnJWg</recordid><startdate>20100801</startdate><enddate>20100801</enddate><creator>Sams, Jacob D., MD</creator><creator>Milbrandt, Joseph C., PhD</creator><creator>Froelich, John M., MD</creator><creator>Rainville, Aundrea D., MD</creator><creator>Allan, D. 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Gordon, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c410t-854606ac44973835357cab81909154f8d355ec01b08465119961536de36ddfb33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>arthroplasty</topic><topic>Arthroplasty, Replacement, Hip - mortality</topic><topic>Arthroplasty, Replacement, Hip - rehabilitation</topic><topic>Arthroplasty, Replacement, Hip - statistics & numerical data</topic><topic>elective</topic><topic>Elective Surgical Procedures</topic><topic>Emergency Medical Services</topic><topic>emergent</topic><topic>Female</topic><topic>Humans</topic><topic>Inpatients</topic><topic>Length of Stay</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Orthopedics</topic><topic>Osteoarthritis, Hip - surgery</topic><topic>Outcome Assessment (Health Care)</topic><topic>Patient Discharge</topic><topic>Reoperation</topic><topic>Retrospective Studies</topic><topic>revision</topic><topic>Survival Rate</topic><topic>THA</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sams, Jacob D., MD</creatorcontrib><creatorcontrib>Milbrandt, Joseph C., PhD</creatorcontrib><creatorcontrib>Froelich, John M., MD</creatorcontrib><creatorcontrib>Rainville, Aundrea D., MD</creatorcontrib><creatorcontrib>Allan, D. 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Gordon, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hospital Outcome After Emergent vs Elective Revision Total Hip Arthroplasty</atitle><jtitle>The Journal of arthroplasty</jtitle><addtitle>J Arthroplasty</addtitle><date>2010-08-01</date><risdate>2010</risdate><volume>25</volume><issue>5</issue><spage>826</spage><epage>828</epage><pages>826-828</pages><issn>0883-5403</issn><eissn>1532-8406</eissn><abstract>Abstract This is a retrospective review of inpatient outcomes, based upon emergent or elective admission for revision total hip arthroplasty (THA) procedures performed between 2000 and 2006. Three hundred forty-two revision THA procedures (291 elective, 51 emergent) were identified. Emergent revisions were more likely to be older (69.9 vs 62.7; P = .003), women (72% vs 54%), require longer hospitalization (8.3 vs 3.8 days), and require a skilled care facility at discharge. No significant difference was observed in mortality. 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| subjects | Age Factors Aged Aged, 80 and over arthroplasty Arthroplasty, Replacement, Hip - mortality Arthroplasty, Replacement, Hip - rehabilitation Arthroplasty, Replacement, Hip - statistics & numerical data elective Elective Surgical Procedures Emergency Medical Services emergent Female Humans Inpatients Length of Stay Male Middle Aged Orthopedics Osteoarthritis, Hip - surgery Outcome Assessment (Health Care) Patient Discharge Reoperation Retrospective Studies revision Survival Rate THA Treatment Outcome |
| title | Hospital Outcome After Emergent vs Elective Revision Total Hip Arthroplasty |
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