Key result
Combining outpatient programs with enhanced recovery after surgery (ERAS) principles for total hip arthroplasty may improve patient outcomes and safety while reducing length of stay.
Why the study?
Short-stay pathways have often focused on length of stay rather than reducing complications and improving rehabilitation, motivating the integration of ERAS principles into outpatient total hip arthroplasty.
Combining ERAS principles with outpatient protocols may improve patient outcomes and safety in total hip arthroplasty.
Hypothesis-generating for combined outpatient-ERAS protocols in hip arthroplasty; leaves open confirmation via randomized trials.
Pressure to reduce healthcare costs, limited hospital availability along with improvements in surgical technique and perioperative care motivated many centers to focus on outpatient pathway implementation. However, in many short-stay protocols, the focus has shifted away from aiming to reduce complications and improved rehabilitation, to using length of stay as the main factor of success. To improve patient outcomes and maintain safety, the best way to implement a successful outpatient program would be to combine it with the principles of enhanced recovery after surgery (ERAS), and to improve patient recovery to a level where the patient is able to leave the hospital sooner. This article delivers a case for modernizing total hip arthroplasty perioperative pathways by implementing ERAS-outpatient protocols.
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Sivaloganathan et al. (2022) conducted a review in Total hip arthroplasty. ERAS-outpatient protocols was evaluated. Combining outpatient programs with enhanced recovery after surgery (ERAS) principles for total hip arthroplasty may improve patient outcomes and safety while reducing length of stay.
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