November 29, 2016Anesthesia & Analgesia

The Effect of Implementation of Preoperative and Postoperative Care Elements of a Perioperative Surgical Home Model on Outcomes in Patients Undergoing Hip Arthroplasty or Knee Arthroplasty

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Why the study?

Does a Perioperative Surgical Home (PSH) model improve operational, clinical, and financial outcomes in patients undergoing total hip or knee arthroplasty?

Population

2,588 patients undergoing total hip arthroplasty or total knee arthroplasty in the United States.

Comparison

Postintervention Perioperative Surgical Home model vs Preintervention PSH (conventional care)

Design

Cohort, nonrandomized

Authors

TVThomas R. VetterGoethe University Frankfurt JBJoydip BarmanUniversity of Alabama at Birmingham JHJames M. HunterSan Antonio College

Discussion

Member takes

Implication

PSH elements were associated with operational gains in joint arthroplasty; leaves open whether prospective implementation improves clinical outcomes.

Structured PICO

Does a Perioperative Surgical Home (PSH) model improve operational, clinical, and financial outcomes in patients undergoing total hip or knee arthroplasty?

Population

2,588 patients undergoing total hip arthroplasty (THA) or total knee arthroplasty (TKA) in the United States (PRE-PSH group N = 1225, POST-PSH group N = 1363).

Intervention

Postintervention Perioperative Surgical Home (PSH) model (preoperative and postoperative elements)

Comparator

Preintervention PSH (conventional care)

Outcome

Clinical, quality, patient safety, operational, and financial outcomes (including on-time starts, anesthesia-related delays, ICU admission rate, length of stay, readmission rate, and costs)

Implementation of a Perioperative Surgical Home model in joint arthroplasty patients is associated with improved operational efficiency and reduced direct nonsurgical costs.

Cite This Study

Vetter et al. (2016) studied this question.

synapsesocial.com/papers/6a7aab3c9092edbae3f3b557 https://doi.org/10.1213/ane.0000000000001743

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Implication

PSH elements were associated with operational gains in joint arthroplasty; leaves open whether prospective implementation improves clinical outcomes.

The Effect of Implementation of Preoperative and Postoperative Care Elements of a Perioperative Surgical Home Model on Outcomes in Patients Undergoing Hip Arthroplasty or Knee Arthroplasty

Discussion

Member takes

Implication

Structured PICO

Cite This Study

The Effect of Implementation of Preoperative and Postoperative Care Elements of a Perioperative Surgical Home Model on Outcomes in Patients Undergoing Hip Arthroplasty or Knee Arthroplasty

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Also Consider