Key result
A rapid recovery protocol for total joint arthroplasty decreased length of hospital stay by 2.9 days and saved an average of $1,511 compared to a conventional protocol (p < 0.001).
Why the study?
Does a rapid recovery protocol decrease hospital stay and costs in patients undergoing total joint arthroplasty at a military medical center?
Population
175 patients undergoing total hip and knee replacements at a military health care facility
Comparison
Rapid recovery protocol vs Conventional protocol
Design
Cohort
Follow-up
short-term (until discharge/readmission)
Authors
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Supports feasibility in military centers; extends civilian data but remains hypothesis-generating without RCTs.
Cohort (n=175)
No
Does a rapid recovery protocol decrease hospital stay and costs in patients undergoing total joint arthroplasty at a military medical center?
Mean Difference: -2.9
p-value: p=<0.001
A rapid recovery protocol for total joint arthroplasty is feasible in a military medical center and significantly reduces length of stay and hospital costs.
Doman et al. (2012) conducted a cohort in Total hip and knee arthroplasty (n=175). Rapid recovery protocol vs. Conventional protocol was evaluated on Length of hospital stay (Decrease of 2.9 days, p=<0.001). A rapid recovery protocol for total joint arthroplasty decreased length of hospital stay by 2.9 days and saved an average of $1,511 compared to a conventional protocol (p < 0.001).
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