作者
Cesar Garriga, Jacqueline Murphy, Jose Leal, Andrew Price, Daniel Prieto-Alhambra, Andrew Carr, NK Arden, Amar Rangan, Cyrus Cooper, George Peat, Ray Fitzpatrick, Karen Barker, Andrew Judge
发表日期
2019/9/1
期刊
Osteoarthritis and cartilage
卷号
27
期号
9
页码范围
1280-1293
出版商
WB Saunders
简介
Objective
We aimed to test whether a national Enhanced Recovery After Surgery (ERAS) Programme in total knee replacement (TKR) had an impact on patient outcomes.
Design
Natural-experiment (April 2008–December 2016). Interrupted time-series regression assessed impact on trends before-during-after ERAS implementation.
Setting
Primary operations from the UK National Joint Registry (NJR) were linked with Hospital Episode Statistics (HES) data which contains inpatient episodes undertaken in National Health Service (NHS) trusts in England, and Patient Reported Outcome Measures (PROMs).
Participants
Patients undergoing primary planned TKR aged ≥18 years.
Intervention
ERAS implementation (April 2009–March 2011).
Outcomes
Regression coefficients of monthly means of Length of stay (LOS), bed day costs, change in Oxford knee scores (OKS) 6-months after surgery, complications (at 6 months …
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C Garriga, J Murphy, J Leal, A Price, D Prieto-Alhambra… - Osteoarthritis and cartilage, 2019