Preoperative and Perioperative Predictors of Length of Hospital Stay after Primary Total Hip Arthroplasty—Our Experience on 743 Cases

The aim of this retrospective investigation is to evaluate the correlation between several preoperative and perioperative factors and the length of hospital stay in patients that underwent elective total hip arthroplasty with overnight admission. Medical records of patients that underwent THA from t...

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Autores principales:	Rocco Papalia, Biagio Zampogna, Guglielmo Torre, Giuseppe Francesco Papalia, Ferruccio Vorini, Marco Bravi, Erika Albo, Antonio De Vincentis, Vincenzo Denaro
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	total hip arthroplasty comorbidity hospitalization renal function glomerular filtration rate Medicine R
Acceso en línea:	https://doaj.org/article/a162faf645c14353b584ae8112ef5f0c
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spelling	oai:doaj.org-article:a162faf645c14353b584ae8112ef5f0c2021-11-11T17:40:33ZPreoperative and Perioperative Predictors of Length of Hospital Stay after Primary Total Hip Arthroplasty—Our Experience on 743 Cases10.3390/jcm102150532077-0383https://doaj.org/article/a162faf645c14353b584ae8112ef5f0c2021-10-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/21/5053https://doaj.org/toc/2077-0383The aim of this retrospective investigation is to evaluate the correlation between several preoperative and perioperative factors and the length of hospital stay in patients that underwent elective total hip arthroplasty with overnight admission. Medical records of patients that underwent THA from the beginning of 2016 to the end of 2018 were retrospectively screened. Demographics, comorbidities, whole blood count, intraoperative details, and length of postoperative stay were retrieved. The association between clinical, laboratory and surgical factors and the length of hospital stay was explored by means of negative binomial and logistic regression models. The median length of postoperative hospital stay was four days (Inter Quartile Range, IQR 3, 5). After univariate regression a stepwise multivariate regression showed that operative time (<i>p</i> = 0.001), the preoperative serum creatinine (<i>p</i> < 0.001), the intraoperative blood loss (<i>p</i> = 0.04) and the use of an anterolateral approach (<i>p</i> < 0.001) were found to correlate significantly with the increase of the hospitalization length, while no significant correlation was found for all the other features. Multivariable model fitted through logistic regression (LOS below or over the median value of four days) had an Area Under the Curve (AUC) of 0.748. Our analysis suggests a significant role played by different preoperative and perioperative variables in influencing the length of hospital stay.Rocco PapaliaBiagio ZampognaGuglielmo TorreGiuseppe Francesco PapaliaFerruccio VoriniMarco BraviErika AlboAntonio De VincentisVincenzo DenaroMDPI AGarticletotal hip arthroplastycomorbidityhospitalizationrenal functionglomerular filtration rateMedicineRENJournal of Clinical Medicine, Vol 10, Iss 5053, p 5053 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	total hip arthroplasty comorbidity hospitalization renal function glomerular filtration rate Medicine R
spellingShingle	total hip arthroplasty comorbidity hospitalization renal function glomerular filtration rate Medicine R Rocco Papalia Biagio Zampogna Guglielmo Torre Giuseppe Francesco Papalia Ferruccio Vorini Marco Bravi Erika Albo Antonio De Vincentis Vincenzo Denaro Preoperative and Perioperative Predictors of Length of Hospital Stay after Primary Total Hip Arthroplasty—Our Experience on 743 Cases
description	The aim of this retrospective investigation is to evaluate the correlation between several preoperative and perioperative factors and the length of hospital stay in patients that underwent elective total hip arthroplasty with overnight admission. Medical records of patients that underwent THA from the beginning of 2016 to the end of 2018 were retrospectively screened. Demographics, comorbidities, whole blood count, intraoperative details, and length of postoperative stay were retrieved. The association between clinical, laboratory and surgical factors and the length of hospital stay was explored by means of negative binomial and logistic regression models. The median length of postoperative hospital stay was four days (Inter Quartile Range, IQR 3, 5). After univariate regression a stepwise multivariate regression showed that operative time (<i>p</i> = 0.001), the preoperative serum creatinine (<i>p</i> < 0.001), the intraoperative blood loss (<i>p</i> = 0.04) and the use of an anterolateral approach (<i>p</i> < 0.001) were found to correlate significantly with the increase of the hospitalization length, while no significant correlation was found for all the other features. Multivariable model fitted through logistic regression (LOS below or over the median value of four days) had an Area Under the Curve (AUC) of 0.748. Our analysis suggests a significant role played by different preoperative and perioperative variables in influencing the length of hospital stay.
format	article
author	Rocco Papalia Biagio Zampogna Guglielmo Torre Giuseppe Francesco Papalia Ferruccio Vorini Marco Bravi Erika Albo Antonio De Vincentis Vincenzo Denaro
author_facet	Rocco Papalia Biagio Zampogna Guglielmo Torre Giuseppe Francesco Papalia Ferruccio Vorini Marco Bravi Erika Albo Antonio De Vincentis Vincenzo Denaro
author_sort	Rocco Papalia
title	Preoperative and Perioperative Predictors of Length of Hospital Stay after Primary Total Hip Arthroplasty—Our Experience on 743 Cases
title_short	Preoperative and Perioperative Predictors of Length of Hospital Stay after Primary Total Hip Arthroplasty—Our Experience on 743 Cases
title_full	Preoperative and Perioperative Predictors of Length of Hospital Stay after Primary Total Hip Arthroplasty—Our Experience on 743 Cases
title_fullStr	Preoperative and Perioperative Predictors of Length of Hospital Stay after Primary Total Hip Arthroplasty—Our Experience on 743 Cases
title_full_unstemmed	Preoperative and Perioperative Predictors of Length of Hospital Stay after Primary Total Hip Arthroplasty—Our Experience on 743 Cases
title_sort	preoperative and perioperative predictors of length of hospital stay after primary total hip arthroplasty—our experience on 743 cases
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/a162faf645c14353b584ae8112ef5f0c
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Preoperative and Perioperative Predictors of Length of Hospital Stay after Primary Total Hip Arthroplasty—Our Experience on 743 Cases

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