PMID- 35187772 OWN - NLM STAT- MEDLINE DCOM- 20220419 LR - 20220531 IS - 1445-2197 (Electronic) IS - 1445-1433 (Linking) VI - 92 IP - 4 DP - 2022 Apr TI - Patient-reported outcomes of a short hospital stay after total knee replacement in a regional public hospital: a prospective cohort treated 2018-2019. PG - 837-842 LID - 10.1111/ans.17531 [doi] AB - BACKGROUND: Patient-reported outcomes and satisfaction following short length of stay (LoS) after total knee arthroplasty (TKA) in the Australian regional context remain unexplored. This study reports complications, outcomes and satisfaction of patients discharged from an enhanced recovery protocol (ERP), 6 weeks after TKA in a regional hospital. METHODS: Prospective recruitment occurred between 2018 and 2019. Demographics, intraoperative data, complications and emergency department (ED) presentations were retrieved from hospital records. Complications were graded for severity using a published scale. Knee range of motion (ROM), timed up-and-go (TUG), 6-min walk test (6MWT) and Oxford Knee Scores (OKS) were assessed preoperatively and 6 weeks postoperatively. Patient satisfaction was assessed via questionnaire at the postoperative follow-up. RESULTS: One hundred patients/117 primary TKAs were prospectively included. Median LoS was 2 days (interquartile range 1-3 days) with 74.4% and 88.4% of patients satisfied with their knee and LoS, at 6 weeks respectively. Twenty-seven patients presented to the ED a total of 37 times with complication severity of Grade III or less, and 10 patients were readmitted. Significant improvements in objective and subjective outcomes were observed, however only change in median OKS exceeded the minimal clinically important difference (MCID) threshold. CONCLUSION: An enhanced recovery protocol after TKA in a regional hospital can achieve a median LoS of 2 days without compromising patient-reported outcomes and objective functional measures, whilst maintaining a high level of patient satisfaction with both the surgery and LoS. Further work is required to better optimize management of largely low-grade complications in this patient population. CI - (c) 2022 Royal Australasian College of Surgeons. FAU - Fatima, Manaal AU - Fatima M AD - EBM Analytics, Sydney, New South Wales, Australia. FAU - Scholes, Corey J AU - Scholes CJ AUID- ORCID: 0000-0001-6592-0738 AD - EBM Analytics, Sydney, New South Wales, Australia. FAU - Tutty, Amanda AU - Tutty A AD - Grafton Base Hospital, Northern NSW Local Health District, Sydney, New South Wales, Australia. AD - The Specialist Orthopaedic Centre, Sydney, New South Wales, Australia. FAU - Ebrahimi, Milad AU - Ebrahimi M AD - EBM Analytics, Sydney, New South Wales, Australia. FAU - Genon, Michel AU - Genon M AD - Grafton Base Hospital, Northern NSW Local Health District, Sydney, New South Wales, Australia. AD - The Specialist Orthopaedic Centre, Sydney, New South Wales, Australia. FAU - Martin, Samuel J AU - Martin SJ AD - Grafton Base Hospital, Northern NSW Local Health District, Sydney, New South Wales, Australia. AD - The Specialist Orthopaedic Centre, Sydney, New South Wales, Australia. LA - eng PT - Journal Article DEP - 20220220 PL - Australia TA - ANZ J Surg JT - ANZ journal of surgery JID - 101086634 SB - IM MH - *Arthroplasty, Replacement, Knee/adverse effects MH - Australia/epidemiology MH - Hospitals, Public MH - Humans MH - Length of Stay MH - *Osteoarthritis, Knee/surgery MH - Patient Reported Outcome Measures MH - Prospective Studies OTO - NOTNLM OT - enhanced recovery OT - knee arthroplasty OT - length of stay OT - regional hospital EDAT- 2022/02/22 06:00 MHDA- 2022/04/20 06:00 CRDT- 2022/02/21 06:10 PHST- 2021/11/16 00:00 [revised] PHST- 2020/10/09 00:00 [received] PHST- 2022/01/17 00:00 [accepted] PHST- 2022/02/22 06:00 [pubmed] PHST- 2022/04/20 06:00 [medline] PHST- 2022/02/21 06:10 [entrez] AID - 10.1111/ans.17531 [doi] PST - ppublish SO - ANZ J Surg. 2022 Apr;92(4):837-842. doi: 10.1111/ans.17531. Epub 2022 Feb 20.