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

Authors: Wainwright, T.W., Immins, T., Antonis, J.H.A., Taylor, H. and Middleton, R.G.

Journal: Foot and Ankle Surgery

Volume: 25

Issue: 3

Pages: 294-297

eISSN: 1460-9584

ISSN: 1268-7731

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.

https://eprints.bournemouth.ac.uk/30186/

Source: Scopus

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

Authors: Wainwright, T.W., Immins, T., Antonis, J.H.A., Taylor, H. and Middleton, R.G.

Journal: Foot Ankle Surg

Volume: 25

Issue: 3

Pages: 294-297

eISSN: 1460-9584

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 3.3days (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.

https://eprints.bournemouth.ac.uk/30186/

Source: PubMed

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

Authors: Wainwright, T.W., Immins, T., Antonis, J.H.A., Taylor, H. and Middleton, R.G.

Journal: FOOT AND ANKLE SURGERY

Volume: 25

Issue: 3

Pages: 294-297

eISSN: 1460-9584

ISSN: 1268-7731

DOI: 10.1016/j.fas.2017.12.005

https://eprints.bournemouth.ac.uk/30186/

Source: Web of Science (Lite)

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

Authors: Wainwright, T., Immins, K., Antonis, J., Taylor, H. and Middleton, R.

Journal: Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons (Blackwell)

Volume: 25

Pages: 294

Publisher: Blackwell Publishing Inc.

ISSN: 1268-7731

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.

https://eprints.bournemouth.ac.uk/30186/

Source: Manual

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

Authors: Wainwright, T.W., Immins, T., Antonis, J.H.A., Taylor, H. and Middleton, R.G.

Journal: Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons

Volume: 25

Issue: 3

Pages: 294-297

eISSN: 1460-9584

ISSN: 1268-7731

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 3.3days (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.

https://eprints.bournemouth.ac.uk/30186/

Source: Europe PubMed Central

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

Authors: Wainwright, T., Immins, T., Antonis, J.H.A., Taylor, H. and Middleton, R.

Journal: Foot and ankle surgery

Volume: 25

Issue: 3

Pages: 294-297

ISSN: 1268-7731

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.

https://eprints.bournemouth.ac.uk/30186/

Source: BURO EPrints