IMPACT OF ENHANCED RECOVERY AFTER SURGERY INTERVENTIONS ON PERIOPERATIVE OUTCOMES IN PATIENTS UNDERGOING TOTAL KNEE ARTHROPLASTY
Author(s)
Aggarwal J1, Park S1, Dagenais S2, Kang A2, Menzin J1
1Boston Health Economics, Waltham, MA, USA, 2Pacira Pharmaceuticals, Inc., Parsippany, NJ, USA
OBJECTIVES: Changes in payment systems for joint replacements have highlighted the need for hospitals to improve the quality of care while also reducing costs. In this analysis we assessed the relationship between various interventions associated with ERAS and perioperative outcomes such as hospital length of stay (LOS). METHODS: Patients undergoing TKA between July 1, 2013 and March 31, 2015 were identified in the Premier Perspective Hospital Database. The use of ERAS interventions, including early mobilization, non-opioid analgesia, and prophylactic treatment of infections and thromboembolism, was identified from hospital chargemaster codes. Multivariate logistic regression was conducted to examine the impact of these interventions and patient factors (age, comorbidities, race, etc.) on hospital LOS ≤2 days. RESULTS:
Conference/Value in Health Info
2016-05, ISPOR 2016, Washington DC, USA
Value in Health, Vol. 19, No. 3 (May 2016)
Code
PHP95
Topic
Health Service Delivery & Process of Care
Topic Subcategory
Hospital and Clinical Practices
Disease
Multiple Diseases, Systemic Disorders/Conditions