Faktor yang Berhubungan dengan LOS Pasien Bedah Orthopedi
Abstract
This literature review aims to analyze what factors are associated with LOS in orthopedic surgery patients. This literature review was carried out using PRISMA guidelines, the electronic databases used were ScienceDirect, CINAHL and Pubmed with the keywords "Length of Stay' OR 'Hospital Discharge' OR 'Hospital Stay' AND 'Orthopaedic Surgery". The results obtained were 10 full text articles, using English, and published in the period 2013-2023. Based on the articles, five groups of factors were found, namely: respondent characteristics (gender and age), comorbidities, surgical time, social support, and attendance at preoperative education classes. Conclusion, Predicting LOS in surgery is an important factor because it helps hospitals provide quality surgical services, ensure patient safety, and plan optimal resources for patients. Further research is still needed to identify factors that influence the LOS of orthopedic surgery patients, especially in Indonesia. So we can find the right solution to reduce the LOS of orthopedic surgery patients.
Keywords: Orthopedic Surgery, Length of Stay, Length of Stay
References
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Ding, Z. chuan, Xu, B., Liang, Z. min, Wang, H. yang, Luo, Z. yu, & Zhou, Z. ke. (2020). Limited Influence of Comorbidities on Length of Stay after Total Hip Arthroplasty: Experience of Enhanced Recovery after Surgery. Orthopaedic Surgery, 12(1), 153–161. https://doi.org/10.1111/os.12600
El Bitar, Y. F., Illingworth, K. D., Scaife, S. L., Horberg, J. V., & Saleh, K. J. (2015). Hospital Length of Stay following Primary Total Knee Arthroplasty: Data from the Nationwide Inpatient Sample Database. Journal of Arthroplasty, 30(10), 1710–1715. https://doi.org/10.1016/j.arth.2015.05.003
Gupta, P., Quan, T., Patel, C. J., Gu, A., & Campbell, J. C. (2022). Extended length of stay and postoperative complications in octogenarians with hypertension following revision total knee arthroplasty. Journal of Clinical Orthopaedics and Trauma, 26. https://doi.org/10.1016/J.JCOT.2022.101787
Li, G., Weng, J., Xu, C., Wang, D., Xiong, A., & Zeng, H. (2019). Factors associated with the length of stay in total knee arthroplasty patients with the enhanced recovery after surgery model. Journal of Orthopaedic Surgery and Research, 14(1), 1–7. https://doi.org/10.1186/s13018-019-1389-1
Martínez-Huedo, M. A., Jiménez-García, R., Jiménez-Trujillo, I., Hernández-Barrera, V., del Rio Lopez, B., & López-de-Andrés, A. (2017). Effect of Type 2 Diabetes on In-Hospital Postoperative Complications and Mortality After Primary Total Hip and Knee Arthroplasty. The Journal of Arthroplasty, 32(12), 3729-3734.e2. https://doi.org/10.1016/J.ARTH.2017.06.038
Maslow, J., Hutzler, L., Slover, J., & Bosco, J. (2015). Etiology of Readmissions Following Orthopaedic Procedures and Medical Admissions. A Comparative Analysis. Bulletin of the Hospital for Joint Disease (2013), 73(4), 269–275. https://europepmc.org/article/MED/26630470
Menendez, M. E., Lawler, S. M., Carducci, M. P., Ring, D., Mahendraraj, K. A., & Jawa, A. (2019). Delayed Hospital Discharge After Total Shoulder Arthroplasty: Why, And Who Is At Risk? JSES Open Access, 3(3), 130–135. https://doi.org/10.1016/j.jses.2019.07.011
Missmann, M., Grenier, J. P., & Raas, C. (2022). Modifiable Factors Influencing Length of Stay After Total Knee Arthroplasty. European Journal of Orthopaedic Surgery and Traumatology, 0123456789. https://doi.org/10.1007/s00590-022-03306-y
Molloy, I. B., Martin, B. I., Moschetti, W. E., & Jevsevar, D. S. (2017). Effects of the Length of Stay on the Cost of Total Knee and Total Hip Arthroplasty from 2002 to 2013. The Journal of Bone and Joint Surgery. American Volume, 99(5), 402–407. https://doi.org/10.2106/JBJS.16.00019
Newman, J. M., Szubski, C. R., Barsoum, W. K., Higuera, C. A., Molloy, R. M., & Murray, T. G. (2017). Day of Surgery Affects Length of Stay and Charges in Primary Total Hip and Knee Arthroplasty. The Journal of Arthroplasty, 32(1), 11–15. https://doi.org/10.1016/J.ARTH.2016.06.032
Papalia, R., Torre, G., Alifano, A. M., Albo, E., Papalia, G. F., Bravi, M., De Vincentis, A., Zappalà, E., Zampogna, B., & Denaro, V. (2022). Length of Hospital Stay after Total Knee Arthroplasty: A Correlation Study on 1200 Patients. Journal of Clinical Medicine, 11(8), 0–8. https://doi.org/10.3390/jcm11082114
Petersen, P. B., Kehlet, H., & Jorgensen, C. C. (2018). Safety of In-Hospital Only Thromboprophylaxis after Fast-Track Total Hip and Knee Arthroplasty: A Prospective Follow-Up Study in 17,582 Procedures. Thrombosis and Haemostasis, 118(12), 2152–2161. https://doi.org/10.1055/S-0038-1675641
Robbins, S. M., Rastogi, R., & McLaughlin, T. L. (2014). Predicting Acute Recovery of Physical Function Following Total Knee Joint Arthroplasty. The Journal of Arthroplasty, 29(2), 299–303. https://doi.org/10.1016/J.ARTH.2013.06.033
Roger, C., Debuyzer, E., Dehl, M., Bulaïd, Y., Lamrani, A., Havet, E., & Mertl, P. (2019). Factors Associated with Hospital Stay Length, Discharge Destination, and 30-Day Readmission Rate After Primary Hip Or Knee Arthroplasty: Retrospective Cohort Study. Orthopaedics and Traumatology: Surgery and Research, 105(5), 949–955. https://doi.org/10.1016/j.otsr.2019.04.012
Sisak, K., Darch, R., Burgess, L. C., Middleton, R. G., & Wainwright, T. W. (2019). A Preoperative Education Class Reduces Length of Stay For Total Knee Replacement Patients Identified At Risk Of An Extended Length of Stay. Journal of Rehabilitation Medicine, 51(10), 788–796. https://doi.org/10.2340/16501977-2602
Sizer, S. C., Cherian, J. J., Elmallah, R. D. K., Pierce, T. P., Beaver, W. B., & Mont, M. A. (2015). Predicting Blood Loss in Total Knee and Hip Arthroplasty. The Orthopedic Clinics of North America, 46(4), 445–459. https://doi.org/10.1016/J.OCL.2015.06.002
Sloan, M., Premkumar, A., & Sheth, N. P. (2018). Projected Volume of Primary Total Joint Arthroplasty in the U.S., 2014 to 2030. The Journal of Bone and Joint Surgery. American Volume, 100(17), 1455–1460. https://doi.org/10.2106/JBJS.17.01617
Sutton, J. C., Antoniou, J., Epure, L. M., Huk, O. L., Zukor, D. J., & Bergeron, S. G. (2016). Hospital Discharge within 2 Days Following Total Hip or Knee Arthroplasty Does Not Increase Major-Complication and Readmission Rates. The Journal of Bone and Joint Surgery. American Volume, 98(17), 1419–1428. https://doi.org/10.2106/JBJS.15.01109
Thirukumaran, C. P., McGarry, B. E., Glance, L. G., Ying, M., Ricciardi, B. F., Cai, X., & Li, Y. (2020). Impact of Hospital Readmissions Reduction Program Penalties on Hip and Knee Replacement Readmissions: Comparison of Hospitals at Risk of Varying Penalty Amounts. Journal of Bone and Joint Surgery - American Volume, 102(1), 60–67. https://doi.org/10.2106/JBJS.18.01501
Tornese, D., Robustelli, A., Ricci, G., Maria, P., Rancoita, V., Maffulli, N., & Peretti, G. M. (2021). Predictors of Postoperative Hospital Length of Stay After Total Knee Arthroplasty. Singapore Medical Journal, November, 1–15. https://doi.org/https://doi.org/10.11622/smedj.2021142
Wainwright, T. W., Gill, M., McDonald, D. A., Middleton, R. G., Reed, M., Sahota, O., Yates, P., & Ljungqvist, O. (2020). Consensus Statement for Perioperative Care in Total Hip Replacement and Total Knee Replacement Surgery: Enhanced Recovery After Surgery (ERAS®) Society Recommendations. Acta Orthopaedica, 91(1), 3–19. https://doi.org/10.1080/17453674.2019.1683790
Wilson, R., Margelyte, R., Redaniel, M. T., Eyles, E., Jones, T., Penfold, C., Blom, A., Elliott, A., Harper, A., Keen, T., Pitt, M., & Judge, A. (2022). Identification of Risk Factors Associated with Prolonged Hospital Stay Following Primary Knee Replacement Surgery: A Retrospective, Longitudinal Observational Study. BMJ Open, 12(12), e068252. https://doi.org/10.1136/bmjopen-2022-068252
Winther, S. B., Foss, O. A., Wik, T. S., Davis, S. P., Engdal, M., Jessen, V., & Husby, O. S. (2015). 1-Year Follow-Up Of 920 Hip and Knee Arthroplasty Patients After Implementing Fast-Track. Acta Orthopaedica, 86(1), 78–85. https://doi.org/10.3109/17453674.2014.957089
Ding, Z. chuan, Xu, B., Liang, Z. min, Wang, H. yang, Luo, Z. yu, & Zhou, Z. ke. (2020). Limited Influence of Comorbidities on Length of Stay after Total Hip Arthroplasty: Experience of Enhanced Recovery after Surgery. Orthopaedic Surgery, 12(1), 153–161. https://doi.org/10.1111/os.12600
El Bitar, Y. F., Illingworth, K. D., Scaife, S. L., Horberg, J. V., & Saleh, K. J. (2015). Hospital Length of Stay following Primary Total Knee Arthroplasty: Data from the Nationwide Inpatient Sample Database. Journal of Arthroplasty, 30(10), 1710–1715. https://doi.org/10.1016/j.arth.2015.05.003
Gupta, P., Quan, T., Patel, C. J., Gu, A., & Campbell, J. C. (2022). Extended length of stay and postoperative complications in octogenarians with hypertension following revision total knee arthroplasty. Journal of Clinical Orthopaedics and Trauma, 26. https://doi.org/10.1016/J.JCOT.2022.101787
Li, G., Weng, J., Xu, C., Wang, D., Xiong, A., & Zeng, H. (2019). Factors associated with the length of stay in total knee arthroplasty patients with the enhanced recovery after surgery model. Journal of Orthopaedic Surgery and Research, 14(1), 1–7. https://doi.org/10.1186/s13018-019-1389-1
Martínez-Huedo, M. A., Jiménez-García, R., Jiménez-Trujillo, I., Hernández-Barrera, V., del Rio Lopez, B., & López-de-Andrés, A. (2017). Effect of Type 2 Diabetes on In-Hospital Postoperative Complications and Mortality After Primary Total Hip and Knee Arthroplasty. The Journal of Arthroplasty, 32(12), 3729-3734.e2. https://doi.org/10.1016/J.ARTH.2017.06.038
Maslow, J., Hutzler, L., Slover, J., & Bosco, J. (2015). Etiology of Readmissions Following Orthopaedic Procedures and Medical Admissions. A Comparative Analysis. Bulletin of the Hospital for Joint Disease (2013), 73(4), 269–275. https://europepmc.org/article/MED/26630470
Menendez, M. E., Lawler, S. M., Carducci, M. P., Ring, D., Mahendraraj, K. A., & Jawa, A. (2019). Delayed Hospital Discharge After Total Shoulder Arthroplasty: Why, And Who Is At Risk? JSES Open Access, 3(3), 130–135. https://doi.org/10.1016/j.jses.2019.07.011
Missmann, M., Grenier, J. P., & Raas, C. (2022). Modifiable Factors Influencing Length of Stay After Total Knee Arthroplasty. European Journal of Orthopaedic Surgery and Traumatology, 0123456789. https://doi.org/10.1007/s00590-022-03306-y
Molloy, I. B., Martin, B. I., Moschetti, W. E., & Jevsevar, D. S. (2017). Effects of the Length of Stay on the Cost of Total Knee and Total Hip Arthroplasty from 2002 to 2013. The Journal of Bone and Joint Surgery. American Volume, 99(5), 402–407. https://doi.org/10.2106/JBJS.16.00019
Newman, J. M., Szubski, C. R., Barsoum, W. K., Higuera, C. A., Molloy, R. M., & Murray, T. G. (2017). Day of Surgery Affects Length of Stay and Charges in Primary Total Hip and Knee Arthroplasty. The Journal of Arthroplasty, 32(1), 11–15. https://doi.org/10.1016/J.ARTH.2016.06.032
Papalia, R., Torre, G., Alifano, A. M., Albo, E., Papalia, G. F., Bravi, M., De Vincentis, A., Zappalà, E., Zampogna, B., & Denaro, V. (2022). Length of Hospital Stay after Total Knee Arthroplasty: A Correlation Study on 1200 Patients. Journal of Clinical Medicine, 11(8), 0–8. https://doi.org/10.3390/jcm11082114
Petersen, P. B., Kehlet, H., & Jorgensen, C. C. (2018). Safety of In-Hospital Only Thromboprophylaxis after Fast-Track Total Hip and Knee Arthroplasty: A Prospective Follow-Up Study in 17,582 Procedures. Thrombosis and Haemostasis, 118(12), 2152–2161. https://doi.org/10.1055/S-0038-1675641
Robbins, S. M., Rastogi, R., & McLaughlin, T. L. (2014). Predicting Acute Recovery of Physical Function Following Total Knee Joint Arthroplasty. The Journal of Arthroplasty, 29(2), 299–303. https://doi.org/10.1016/J.ARTH.2013.06.033
Roger, C., Debuyzer, E., Dehl, M., Bulaïd, Y., Lamrani, A., Havet, E., & Mertl, P. (2019). Factors Associated with Hospital Stay Length, Discharge Destination, and 30-Day Readmission Rate After Primary Hip Or Knee Arthroplasty: Retrospective Cohort Study. Orthopaedics and Traumatology: Surgery and Research, 105(5), 949–955. https://doi.org/10.1016/j.otsr.2019.04.012
Sisak, K., Darch, R., Burgess, L. C., Middleton, R. G., & Wainwright, T. W. (2019). A Preoperative Education Class Reduces Length of Stay For Total Knee Replacement Patients Identified At Risk Of An Extended Length of Stay. Journal of Rehabilitation Medicine, 51(10), 788–796. https://doi.org/10.2340/16501977-2602
Sizer, S. C., Cherian, J. J., Elmallah, R. D. K., Pierce, T. P., Beaver, W. B., & Mont, M. A. (2015). Predicting Blood Loss in Total Knee and Hip Arthroplasty. The Orthopedic Clinics of North America, 46(4), 445–459. https://doi.org/10.1016/J.OCL.2015.06.002
Sloan, M., Premkumar, A., & Sheth, N. P. (2018). Projected Volume of Primary Total Joint Arthroplasty in the U.S., 2014 to 2030. The Journal of Bone and Joint Surgery. American Volume, 100(17), 1455–1460. https://doi.org/10.2106/JBJS.17.01617
Sutton, J. C., Antoniou, J., Epure, L. M., Huk, O. L., Zukor, D. J., & Bergeron, S. G. (2016). Hospital Discharge within 2 Days Following Total Hip or Knee Arthroplasty Does Not Increase Major-Complication and Readmission Rates. The Journal of Bone and Joint Surgery. American Volume, 98(17), 1419–1428. https://doi.org/10.2106/JBJS.15.01109
Thirukumaran, C. P., McGarry, B. E., Glance, L. G., Ying, M., Ricciardi, B. F., Cai, X., & Li, Y. (2020). Impact of Hospital Readmissions Reduction Program Penalties on Hip and Knee Replacement Readmissions: Comparison of Hospitals at Risk of Varying Penalty Amounts. Journal of Bone and Joint Surgery - American Volume, 102(1), 60–67. https://doi.org/10.2106/JBJS.18.01501
Tornese, D., Robustelli, A., Ricci, G., Maria, P., Rancoita, V., Maffulli, N., & Peretti, G. M. (2021). Predictors of Postoperative Hospital Length of Stay After Total Knee Arthroplasty. Singapore Medical Journal, November, 1–15. https://doi.org/https://doi.org/10.11622/smedj.2021142
Wainwright, T. W., Gill, M., McDonald, D. A., Middleton, R. G., Reed, M., Sahota, O., Yates, P., & Ljungqvist, O. (2020). Consensus Statement for Perioperative Care in Total Hip Replacement and Total Knee Replacement Surgery: Enhanced Recovery After Surgery (ERAS®) Society Recommendations. Acta Orthopaedica, 91(1), 3–19. https://doi.org/10.1080/17453674.2019.1683790
Wilson, R., Margelyte, R., Redaniel, M. T., Eyles, E., Jones, T., Penfold, C., Blom, A., Elliott, A., Harper, A., Keen, T., Pitt, M., & Judge, A. (2022). Identification of Risk Factors Associated with Prolonged Hospital Stay Following Primary Knee Replacement Surgery: A Retrospective, Longitudinal Observational Study. BMJ Open, 12(12), e068252. https://doi.org/10.1136/bmjopen-2022-068252
Winther, S. B., Foss, O. A., Wik, T. S., Davis, S. P., Engdal, M., Jessen, V., & Husby, O. S. (2015). 1-Year Follow-Up Of 920 Hip and Knee Arthroplasty Patients After Implementing Fast-Track. Acta Orthopaedica, 86(1), 78–85. https://doi.org/10.3109/17453674.2014.957089
Published
2023-12-31
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Copyright (c) 2023 Abdul Rahman, Kusman Ibrahim, Urip Rahayu
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