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

Abstract:

BACKGROUND AND PURPOSE:Hospital volume has been suggested to be one of the best indicators of adverse orthopedic events in patients undergoing THR surgery. We therefore evaluated the effect of hospital volume on the length of stay, re-admissions, and complications of THR at the population level in Finland. 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.

journal_name

Acta Orthop

journal_title

Acta orthopaedica

authors

Mäkelä KT,Häkkinen U,Peltola M,Linna M,Kröger H,Remes V

doi

10.3109/17453674.2010.533930

subject

Has Abstract

pub_date

2011-02-01 00:00:00

pages

20-6

issue

1

eissn

1745-3674

issn

1745-3682

journal_volume

82

pub_type

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