Hip Replacement in a High Volume Community Hospital: Effect on Length of Stay and Hospital Cost
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.
|Study Design:||Observational Model: Case-Only
Time Perspective: Retrospective
|Official Title:||Introduction of the Direct Anterior Approach to Hip Replacement Into a High Volume Community Hospital: Effect on Length of Stay and Hospital Cost|
- Length of Hospital Stay [ Time Frame: Retrospective review of hospital discharge records ] [ Designated as safety issue: No ]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 [ Time Frame: Retrospective review of utilization records ] [ Designated as safety issue: No ]Hospital cost analysis will be undertaken for each group.
- Post Operative Pain Medication Utilization [ Time Frame: After retrospective chart review is complete -- approximately 6 months ] [ Designated as safety issue: No ]Analysis of post operative pain medicine requirement will be compared for the two groups.
- Utilization of inpatient physical therapy resources [ Time Frame: Retrospective review -- of hospital discharge ] [ Designated as safety issue: No ]Utilization of inpatient physical therapy resources and post hospital discharge disposition will be compared for the two groups.
|Primary Completion Date:||January 2014 (Final data collection date for primary outcome measure)|
Direct Anterior Approach hip replacement
Single surgeon series of 105 consecutive patients who underwent hip replacement via the direct anterior approach on a fracture table
Posterior Approach Hip Replacement
105 consecutive patients previously operated on by a less invasive posterior approach at the same institution. These surgeries occurred prior to March, 2010.
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.
Please refer to this study by its ClinicalTrials.gov identifier: NCT01857505
|United States, Maryland|
|Anne Arundel Medical Center|
|Annapolis, Maryland, United States, 21401|
|Principal Investigator:||Paul King, M.D.||Anne Arundel Medical Center / Anne Arundel Orthopedic Surgeons|