Influence of the Covid-19 pandemic on hospital stay after knee and hip arthroplasty
Abstract. Introduction The Covid-19 pandemic has led to quite significant changes in the length of hospital stay of orthopedic patients. Meanwhile, there has been a tendency for early discharge after arthroplasty for quite some time due to the increasing burden on health care systems that became po...
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Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics
2021
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oai:doaj.org-article:3222886ca5084b2e80804d96c17ee6252021-11-15T10:04:39ZInfluence of the Covid-19 pandemic on hospital stay after knee and hip arthroplasty10.18019/1028-4427-2021-27-5-570-5771028-44272542-131Xhttps://doaj.org/article/3222886ca5084b2e80804d96c17ee6252021-10-01T00:00:00Zhttps://doaj.org/toc/1028-4427https://doaj.org/toc/2542-131XAbstract. Introduction The Covid-19 pandemic has led to quite significant changes in the length of hospital stay of orthopedic patients. Meanwhile, there has been a tendency for early discharge after arthroplasty for quite some time due to the increasing burden on health care systems that became possible due to the implementation of accelerated rehabilitation protocols. This study is dedicated to the effect of discharge terms on the incidence of postoperative complications. Material and methods A retrospective study of 1,837 patients who underwent primary/revision THA and TKA at our center in 2020 was carried out. The impact of the pandemic was assessed by comparing the duration of hospitalization, the incidence of complications and functional status in patients operated on before and after the introduction of epidemiological restrictions. Purpose of the study To assess the impact of the Covid-19 pandemic on the length of patients’ hospital stay after knee and hip arthroplasty. Results The total duration of hospitalization after primary THA was reduced by 35 % (from 11.8 ± 3.3 to 7.7 ± 2.6 bed-days), and by 38 % (from 19.9 ± 7.5 to 12.8 ± 6.3 bed-days) after revision THA. The overall readmission rate (for surgical and nonsurgical complications) after primary THA was 4.1 % before the pandemic and 4.3 % during the pandemic; for primary TKA it was 2.1 % and 5.1 %, respectively; for revision THA – 13.9 % and 4.5 %, revision TKA – 4.4 % and 9.8 %, respectively. Comparative assessment for each diagnosis separately did not show significant difference. Evaluation of the questionnaire survey using the Oxford hip/knee score also showed the absence of a statistically significant relationship between the time of discharge and the functional state of the operated joint. The interviewing of patients regarding the infection with coronavirus yielded positive answers in 22 % (n = 419). The onset of symptoms during hospitalization or within 14 days after discharge was noted by 4 % of respondents (n = 75). Conclusion The incidence of complications and unfavorable outcomes did not depend on the length of hospital stay after THA and TKA.Alimurad G. AlievAimen RiakhiAndrei P. SeredaEvgenii V. VeberIgor I. ShubniakovRashid M. TikhilovRussian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedicsarticlecovid-19 pandemicarthroplastyknee jointhip jointhospitalizationOrthopedic surgeryRD701-811ENRUГений oртопедии, Vol 27, Iss 5, Pp 570-577 (2021) |
| institution |
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| collection |
DOAJ |
| language |
EN RU |
| topic |
covid-19 pandemic arthroplasty knee joint hip joint hospitalization Orthopedic surgery RD701-811 |
| spellingShingle |
covid-19 pandemic arthroplasty knee joint hip joint hospitalization Orthopedic surgery RD701-811 Alimurad G. Aliev Aimen Riakhi Andrei P. Sereda Evgenii V. Veber Igor I. Shubniakov Rashid M. Tikhilov Influence of the Covid-19 pandemic on hospital stay after knee and hip arthroplasty |
| description |
Abstract. Introduction The Covid-19 pandemic has led to quite significant changes in the length of hospital stay of orthopedic patients. Meanwhile, there has
been a tendency for early discharge after arthroplasty for quite some time due to the increasing burden on health care systems that became possible due to the
implementation of accelerated rehabilitation protocols. This study is dedicated to the effect of discharge terms on the incidence of postoperative complications.
Material and methods A retrospective study of 1,837 patients who underwent primary/revision THA and TKA at our center in 2020 was carried out. The
impact of the pandemic was assessed by comparing the duration of hospitalization, the incidence of complications and functional status in patients operated
on before and after the introduction of epidemiological restrictions. Purpose of the study To assess the impact of the Covid-19 pandemic on the length of
patients’ hospital stay after knee and hip arthroplasty. Results The total duration of hospitalization after primary THA was reduced by 35 % (from 11.8 ± 3.3
to 7.7 ± 2.6 bed-days), and by 38 % (from 19.9 ± 7.5 to 12.8 ± 6.3 bed-days) after revision THA. The overall readmission rate (for surgical and nonsurgical
complications) after primary THA was 4.1 % before the pandemic and 4.3 % during the pandemic; for primary TKA it was 2.1 % and 5.1 %, respectively; for
revision THA – 13.9 % and 4.5 %, revision TKA – 4.4 % and 9.8 %, respectively. Comparative assessment for each diagnosis separately did not show significant
difference. Evaluation of the questionnaire survey using the Oxford hip/knee score also showed the absence of a statistically significant relationship between the
time of discharge and the functional state of the operated joint. The interviewing of patients regarding the infection with coronavirus yielded positive answers
in 22 % (n = 419). The onset of symptoms during hospitalization or within 14 days after discharge was noted by 4 % of respondents (n = 75). Conclusion The
incidence of complications and unfavorable outcomes did not depend on the length of hospital stay after THA and TKA. |
| format |
article |
| author |
Alimurad G. Aliev Aimen Riakhi Andrei P. Sereda Evgenii V. Veber Igor I. Shubniakov Rashid M. Tikhilov |
| author_facet |
Alimurad G. Aliev Aimen Riakhi Andrei P. Sereda Evgenii V. Veber Igor I. Shubniakov Rashid M. Tikhilov |
| author_sort |
Alimurad G. Aliev |
| title |
Influence of the Covid-19 pandemic on hospital stay after knee and hip arthroplasty |
| title_short |
Influence of the Covid-19 pandemic on hospital stay after knee and hip arthroplasty |
| title_full |
Influence of the Covid-19 pandemic on hospital stay after knee and hip arthroplasty |
| title_fullStr |
Influence of the Covid-19 pandemic on hospital stay after knee and hip arthroplasty |
| title_full_unstemmed |
Influence of the Covid-19 pandemic on hospital stay after knee and hip arthroplasty |
| title_sort |
influence of the covid-19 pandemic on hospital stay after knee and hip arthroplasty |
| publisher |
Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics |
| publishDate |
2021 |
| url |
https://doaj.org/article/3222886ca5084b2e80804d96c17ee625 |
| work_keys_str_mv |
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