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Can the introduction of Enhanced Recovery After Surgery (ERAS) reduce the variation in length of stay after total ankle replacement surgery?
- Source :
-
Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons [Foot Ankle Surg] 2019 Jun; Vol. 25 (3), pp. 294-297. Date of Electronic Publication: 2017 Dec 21. - Publication Year :
- 2019
-
Abstract
- Background: Enhanced Recovery After Surgery (ERAS) has been successfully adopted across a range of procedures. This study explores whether there is scope to improve length of stay (LOS) for total ankle replacement surgery (TAR) in the UK by implementing ERAS pathways.<br />Methods: Hospital Episode Statistics (HES) data (April 2015/March 2016) on LOS for TAR were analysed. A literature search was then carried out to examine whether there were any publications on outpatient TAR and/or the use of ERAS protocols.<br />Results: Mean observed LOS was 3.3days (range 0-17.3) days. Case mix-adjusted expected LOS range was 2.0-5.7 days. It is likely that the wide observed LOS range is due to differences in local processes and pathways. Two papers were found by the literature search.<br />Conclusions: TAR should aim to be outpatient surgery as the literature, and data demonstrating scope for improvement in LOS, suggest this should be possible.<br /> (Copyright © 2019 European Foot and Ankle Society. All rights reserved.)
Details
- Language :
- English
- ISSN :
- 1460-9584
- Volume :
- 25
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons
- Publication Type :
- Academic Journal
- Accession number :
- 29409177
- Full Text :
- https://doi.org/10.1016/j.fas.2017.12.005