Isfahan University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
Predictive Factors for Length of Stay in Patients Undergoing Total Hip Arthroplasty: A Cross-Sectional Study Publisher



Bolourinejad P1 ; Motififard M2 ; Naeini MK3 ; Saffari M1 ; Salehi F1 ; Rajabzade P1 ; Lachinani A1 ; Yazdani A1 ; Kheradmand M1 ; Nemati A1
Authors
Show Affiliations
Authors Affiliations
  1. 1. Student Research Committee, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. Kashani Hospital, Isfahan University of Medical Sciences, Isfahan, Iran
  3. 3. School of Public Health, Isfahan University of Medical Sciences, Isfahan, Iran

Source: Medical Journal of the Islamic Republic of Iran Published:2023


Abstract

Background: Total hip arthroplasty (THA) is an effective surgery for patients with end-stage hip joint degenerative arthritis. This study aimed to determine peri-operative factors that impact the length of stay (LOS) and design a formula to predict LOS in patients undergoing THA. Methods: This cross-sectional study was performed from September 2019 to January 2020. For this study, all patients who underwent THA over a period of 12 years since 2005 were included in the study. Data about the LOS and several variables including demographic variables, surgery-related variables, transfusion, intensive care unit (ICU) admission, past drug history, comorbidities, and laboratory data, were gathered. Qualitative variables are presented as numbers (%), and quantitative variables are presented as mean Mann± standard deviation. Mann Whitney test, Kruskal-Wallis test, and Spearman's rank correlation test were also used. Results: A total of 524 patients were included in the study; 12 were excluded .261 (51%) were female and 251(49%) male. The mean age was 56.13±17.04 years. In the univariate analysis, the day of admission, surgery indication, transfusion, diabetes mellitus, oral anti-diabetic drugs, American Society of Anesthesiology (ASA) score, preoperative hemoglobin (Hb) level, and type of prosthesis showed significant relation with LOS. Significant variables entered to zero truncated negative binomial regression. Among them, the day of admission, ASA score, preoperative Hb level, and type of prosthesis showed significant relation with LOS (P < 0.05) and were used for model design. Conclusion: Preoperative Hb level, ASA score, day of admission, and prosthesis type have an impact on LOS and can predict LOS in patients who are candidates for THA. © (2023) Iran University of Medical Sciences
Related Docs
View other Related Docs
1. Short-Time Influence of Totah Hip Arthroplasty on Patients With Sever Hip Ostheoarthritis, Journal of Isfahan Medical School (2013)
2. Length of Stay in Patients Undergoing Total Knee Arthroplasty, Journal of Orthopaedics (2022)
3. Is Life Easier and More Pleasurable After Total Hip Arthroplasty?, Shiraz E Medical Journal (2010)
4. Total Hip Arthroplasty Revision Etiologies: A Cross-Sectional Study in Isfahan, Iran, Journal of Research in Medical Sciences (2022)
5. Evaluation of the Validity and Reliability of a Persian Version of the Forgotten Joint Score in Patients Undergoing Total Hip Arthroplasty, Archives of Bone and Joint Surgery (2023)
6. Comparison of Postoperative Pain and Clinical Outcomes of Total Knee Arthroplasty Among Patients With Rheumatoid Arthritis and Osteoarthritis Referred to Clinic or Emergency Department, Advanced Biomedical Research (2023)
7. Displaced Femoral Neck Fracture in Elderly Patients: Comparison of Primary Total Hip Arthroplasty With Internal Fixation, Journal of Isfahan Medical School (2010)
8. Comparing the Effect of Cup Placement Between True and False Acetabula in Total Hip Arthroplasty in Patients With Crowe Type 3 Dysplastic Hip: A Randomized Clinical Trial, Journal of Research in Medical Sciences (2022)
Experts (# of related papers)
View all Related Experts
Mehdi Motififard (16)
Mehdi Teimouri (8)
Other Related Docs
9. Translation and Cultural Adaptation of the Oxford Hip Score for Iranian Population, International Journal of Preventive Medicine (2013)
10. The Effect of Adductor Canal Block on Hemodynamic Variables and Pain After Total Knee Arthroplasty Under Spinal Anesthesia in Comparison With Control Group, Journal of Isfahan Medical School (2017)
11. Comparative Study of Two Anesthesia Methods According to Postoperative Complications and One Month Mortality Rate in the Candidates of Hip Surgery, Journal of Research in Medical Sciences (2011)
12. No Difference Between Wound Closure in Extension or Flexion for Range of Motion Following Total Knee Arthroplasty: A Randomized Clinical Trial, Knee Surgery, Sports Traumatology, Arthroscopy (2016)
13. Pre-Emptive Injection of Peri-Articular-Multimodal Drug for Post-Operative Pain Management in Total Knee Arthroplasty: A Double-Blind Randomized Clinical Trial, International Orthopaedics (2017)
14. In-Toeing and Out-Toeing Gait Conservative Treatment; Hip Anteversion and Retroversion: 10-Year Follow-Up, Journal of Research in Medical Sciences (2015)
15. Effects of Total Knee Replacement on Quality of Life in 60-70 Year-Old Patients With Advanced Knee Osteoarthritis, Journal of Isfahan Medical School (2012)
16. The Efficacy of Intravenous Versus Topical Use of Tranexamic Acid in Reducing Blood Loss After Primary Total Knee Arthroplasty: A Randomized Clinical Trial, Archives of Bone and Joint Surgery (2020)
17. Evaluating the Effectiveness of Conventional Prostheses Against Dual‑Mobility Prostheses in the Treatment of Femoral Neck Fractures in Two Separate Groups of Patients: A Clinical Trial Study, Advanced Biomedical Research (2023)
18. Association Between Proximal Femoral Geometry and Incidence of Proximal Femoral Fractures, Koomesh (2019)
19. Cross-Cultural Adaptation and Validation of the Persian Version of the Intermittent and Constant Osteoarthritis Pain Measure for the Knee, Iranian Journal of Nursing and Midwifery Research (2016)
20. Comparative Study of Exchange Nailing and Augmentative Plating for Treating Aseptic Nonunion of Femoral Shafts Post Intramedullary Nailing: A Single-Blind, Multicentric Randomized Clinical Trial, Journal of Clinical Medicine (2024)
21. Fixed Versus Mobile Weight-Bearing Prosthesis in Total Knee Arthroplasty, Knee Surgery, Sports Traumatology, Arthroscopy (2012)
22. Cross-Cultural Adaptation and Validation of the Persian Version of the Harris Hip Score, Arthroplasty Today (2023)
23. Diagnostic Performance of Spect/Ct for Identification of Aseptic Loosening After Total Knee and Hip Arthroplasty: A Systematic Review and Meta-Analysis, Acta Orthopaedica Belgica (2024)
24. Have the Infected Total Hip Arthroplasty Been Still Catastrophic?, Journal of Isfahan Medical School (2009)
25. The Relationship Between the Length of the Greater Trochanter to the Lateral Epicondyle of the Femur Bone With the Distance Between the Olecranon Type and the Finger Type of 5Th Hands, Journal of Isfahan Medical School (2022)
26. Knee Fusion Versus Above Knee Amputation As Two Options to Deal With Knee Periprosthetic Joint Infection, Archives of Orthopaedic and Trauma Surgery (2024)
27. The Incidence of Hip Fracture in Shiraz, Iran: A Promising Rate Comparing to Previous Studies, Osteoporosis International (2017)
28. Comparison of Clinical Results of Two Surgical Techniques in Patients With Developmental Dysplasia of Hip: Open Reduction With and Without Salter Osteotomy, Journal of Isfahan Medical School (2020)
29. The Effect of Skin Traction on Pain Relief in Patients With Isolated Intertrochanteric Fractures, a Randomized Clinical Trial, BMC Musculoskeletal Disorders (2023)
30. The Effect of Topical Tranexamic Acid Versus Injection Into the Clamped Drain on Postsurgical Bleeding in Knee Arthroplasty Surgery: A Double-Blind Randomized Clinical Trial Study, Journal of Isfahan Medical School (2018)
31. Impacts of Hip Hemiarthroplasty With Direct Lateral Vs. Posterolateral Approach for Femoral Neck Fractures in the Elderly, Trauma Monthly (2020)
32. Treatment of Intertrochanteric Fractures in Elderly Highrisk Patients: Dynamic Hip Screw Vs. External Fixation, Injury (2014)
33. Persistent Pain Following Total Knee Arthroplasty: The Role of Underlying Diseases, Journal of Research in Medical Sciences (2023)
34. Study of Knee Range of Motion After Soft Tissue Repair in Both Flexion and Extension During Total Knee Arthroplasty :A Randomized Clinical Trial, Tehran University Medical Journal (2022)
35. External Fixation Vs. Skeletal Traction for Treatment of Intertrochanteric Fractures in the Elderly, Trauma Monthly (2016)
36. Adjuvant Vitamin D Injection in Elderly Patients Before Intertrochanteric Fracture Surgery: A Randomised Controlled Trial, Geriatric Orthopaedic Surgery and Rehabilitation (2024)
37. Comparison of the Results of Fixation of Reverse-Oblique Intertrochanteric and Short-Segment Subtrochanteric Fractures Using Dynamic Hip Screw (Dhs) and Dynamic Condylar Screw (Dcs), Journal of Isfahan Medical School (2016)
38. Predictors of Persistent Postsurgical Pain Following Total Knee Arthroplasty: A Protocol for Systematic Review and Meta-Analysis, Canadian Journal of Pain (2019)
39. Comparison of Performance and Pain Intensity After Total Knee Arthroplasty Using General or Regional Anesthesia, Journal of Isfahan Medical School (2012)
40. Asymmetry of Bone Mineral Density of the Hips in Patients With Unilateral Knee Osteoarthritis: A Cross-Sectional Study, Journal of Musculoskeletal Research (2011)
41. Osteoarthritis Patients' Experiences of Pharmacotherapy for Pain Management in Iran: A Qualitative Study, Drug Research (2017)
42. Iliac Pedicle Wedge Graft As a New Modification for Iliac Osteotomies in Young Adolescents: A Single-Blind Randomized Clinical Trial, Archives of Bone and Joint Surgery (2019)