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Total Knee Arthroplasty: Does Day of Surgery Matter?

机译:全膝关节置换术:手术日很重要吗?

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Introduction: There has been an influx of research studies aimed at identifying all factors that contribute to minimizing cost and maximizing postoperative care after total knee arthroplasty (TKA). Length of stay (LOS) has been defined as a significant factor that contributes to increased burden. We aimed at looking whether day of surgery has any significant effect on the LOS and postoperative complications following total knee arthroplasty (TKA). Materials and methods: Retrospective cohort study done at the Aga Khan University Hospital, Pakistan, from January 2007 to December 2015. A total of 611 patients who underwent a unilateral or bilateral total knee arthroplasty (TKA) were included in study: 269 (44.0%) patients underwent unilateral TKA and 342 (56.0%) underwent a bilateral TKA. Results: Kruskal-Wallis test and post hoc pairwise comparisons showed that unilateral TKAs performed on Tuesday, Saturday, and Sunday resulted in a lower median LOS ( P ?
机译:简介:大量研究旨在确定导致全膝关节置换(TKA)后成本最小化和术后最大化护理的所有因素。住院时间(LOS)已被定义为导致负担增加的重要因素。我们旨在研究手术日对全膝关节置换术(TKA)后的LOS和术后并发症是否有任何显着影响。材料和方法:回顾性队列研究于2007年1月至2015年12月在巴基斯坦阿加汗大学医院进行。研究共纳入611例行单侧或双侧全膝关节置换术(TKA)的患者:269(44.0% )患者接受了单侧TKA,342例(56.0%)接受了双侧TKA。结果:Kruskal-Wallis检验和事后成对比较显示,在周二,周六和周日进行单侧TKA可使中位LOS降低(P≤0.05)。在双边TKA组中未发现明显的关联。手术日与术后并发症无关。结论:单侧TKA在每周早些时候和周末晚些时候进行,与LOS明显降低有关。在本周下半年修补辅助服务的可能性很高,并且工作人员的工作量增加是造成这种现象的重要原因。

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