Can the introduction of Enhanced Recovery After Surgery (ERAS) reduce the variation in length of stay after total ankle replacement surgery?

Wainwright, T., Immins, T., Antonis, J.H.A., Taylor, H. and Middleton, R., 2018. Can the introduction of Enhanced Recovery After Surgery (ERAS) reduce the variation in length of stay after total ankle replacement surgery? Foot and ankle surgery. (In Press)

Full text available as:

[img] PDF
clean v2F.AS Ankle ERAS.pdf - Accepted Version
Restricted to Repository staff only until 21 December 2018.
Available under License Creative Commons Attribution Non-commercial No Derivatives.

90kB

DOI: 10.1016/j.fas.2017.12.005

Abstract

Background: Enhanced Recovery After Surgery (ERAS) has been successfully adopted across a range of procedures. This study explores whether there is scope to improve length of stay (LOS) for total ankle replacement surgery (TAR) in the UK by implementing ERAS pathways. Methods: Hospital Episode Statistics (HES) data (April 2015/March 2016) on LOS for TAR were analysed. A literature search was then carried out to examine whether there were any publications on outpatient TAR and/or the use of ERAS protocols. Results: Mean observed LOS was 3.3 days (range 0–17.3) days. Case mix-adjusted expected LOS range was 2.0–5.7 days. It is likely that the wide observed LOS range is due to differences in local processes and pathways. Two papers were found by the literature search. Conclusions: TAR should aim to be outpatient surgery as the literature, and data demonstrating scope for improvement in LOS, suggest this should be possible.

Item Type:Article
ISSN:1268-7731
Uncontrolled Keywords:Enhanced Recovery After Surgery; ERAS; Total ankle replacement; Length of stay
Group:Faculty of Health & Social Sciences
ID Code:30186
Deposited By: Unnamed user with email symplectic@symplectic
Deposited On:15 Jan 2018 11:54
Last Modified:15 Jan 2018 11:54

Downloads

Downloads per month over past year

More statistics for this item...
Repository Staff Only -