The effect of hospital volume on length of stay, re-admissions, and complications of total hip arthroplasty

作者:Makela Keijo T*; Hakkinen Unto; Peltola Mikko; Linna Miika; Kroger Heikki; Remes Ville
来源:Acta Orthopaedica, 2011, 82(1): 20-26.
DOI:10.3109/17453674.2010.533930

摘要

Methods 30,266 THRs performed for primary osteoarthritis were identified from the Hospital Discharge Register. Hospitals were classified into 4 groups according to the number of THRs performed on an annual basis over the whole study period: 1--50 (group 1), 51--150 (group 2), 151--300 (group 3), and > 300 (group 4).
Results In 2005, the length of the period of surgical treatment was 5.5 days in group 4 and 6.8 days in group 1 (the reference group). During the whole study period (1998--2005), the length of surgical treatment period was shorter in group 4 than in group 1 (p < 0.001). The odds ratio for dislocations (0.7, 95% CI: 0.6--0.9) was lower in group 3 than in group 1.
Interpretation Hip replacements performed in high-volume hospitals reduce costs by shortening the length of stay, and they may reduce the dislocation rate.

  • 出版日期2011-2