The Impact of Room-Sharing on Length of Stay After Total Hip or Knee Arthroplasty: A Retrospective Study

Arthroplasty Today

Daniel Youlden, MBBS¹  Sascha Karunaratne, B HlthSci (Hons)/M Physio²  Sanjeev Gupta, MBBS, FRACS (Orth)³  Yui Yee Felice Tong, MD, B AppSci (Physiotherapy)⁴ 

[1] Corresponding author. 50 Missenden Rd, Sydney, New South Wales, 2050, Australia. Tel.: [phone].;Department of Orthopaedics, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia;Department of Orthopaedics, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia;Sydney Medical Program, University of Sydney, Camperdown, New South Wales, Australia;

关键词: Length of stay;    Patients’ rooms;    Arthroplasty replacement hip;    Arthroplasty replacement knee;   

DOI  :  

来源: DOAJ

【 摘 要 】

Background: Prolonged length of stay (LOS) after elective total hip (THA) and knee (TKA) arthroplasty is often associated with worse patient outcomes. Social support through room-sharing has been identified as a factor that may reduce LOS in a hospital setting, but has not yet been examined in an orthopedic population. The aim of this study was to evaluate the effect of single- vs shared-room accommodation after elective TKA or THA on hospital LOS. Method: A retrospective study was conducted using data from hospital medical records at our institution. Patients receiving unilateral, elective THA or TKA over a 2-year period were eligible. Patients were allocated to either a single room or four-bed shared room. The primary outcome was LOS; secondary outcomes included complications, discharge destination, and return to operating theater. Results: One hundred eighty-five patients (70 THA, 115 TKA; mean age 65.74 ± 10.38, 59% female) were included, of whom 82 were allocated to a single room and 103 to a shared room. There was no statistically significant difference in LOS between the 2 groups (5.18 ± 2.21 days [single] vs 4.88 ± 2.12 days [shared]; mean difference −0.29 [95% CI −0.92-0.33], P = .36). Analysis modeling for multiple confounders found no association among room allocation, LOS, and discharge destination. However, more patients in single rooms required discharge to rehabilitation (27% vs 9%) and return to theater (7% vs 1%). Conclusions: Room allocation did not correlate with a difference in LOS in patients undergoing elective THA or TKA.

【 授权许可】

Unknown