Hospital outcome after emergent vs elective revision total hip arthroplasty.
This is a retrospective review of inpatient outcomes, based upon emergent or elective admission for revision total hip arthroplasty (THA) procedures performed between 2000 and 2006. Three hundred forty-two revision THA procedures (291 elective, 51 emergent) were identified. Emergent revisions were more likely to be older (69.9 vs 62.7; P = .003), women (72% vs 54%), require longer hospitalization (8.3 vs 3.8 days), and require a skilled care facility at discharge. No significant difference was observed in mortality. We identified 2 basic outcome measures suggesting that patients undergoing emergent revision will have a more complex hospitalization and require more assistance at discharge. Clarifying emergent vs elective THA at admission may assist in better planning and assessment of patient needs regarding rehabilitation, hospital management, and discharge planning.
Sams
Jacob D
JD
Division of Orthopedic Surgery and Rehabilitation, Southern Illinois University School of Medicine, Springfield, Illinois 62794-9679, USA.
Milbrandt
Joseph C
JC
Froelich
John M
JM
Rainville
Aundrea D
AD
Allan
D Gordon
DG
D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000401:mortality / Q000534:rehabilitation / Q000706:statistics & numerical data*; D017558:Elective Surgical Procedures; D004632:Emergency Medical Services; D005260:Female; D006801:Humans; D007297:Inpatients; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D015207:Osteoarthritis, Hip / Q000601:surgery*; D017063:Outcome Assessment, Health Care; D010351:Patient Discharge; D012086:Reoperation; D012189:Retrospective Studies; D015996:Survival Rate; D016896:Treatment Outcome