Article
Orthopedics
Haosheng Wang, Tingting Fan, Wenle Li, Bo Yang, Qiang Lin, Mingyu Yang
Summary: This study identified risk factors for prolonged length of stay following primary THA with an ERAS program and developed a prediction model with satisfactory performance in predicting prolonged length of stay. The prediction model was expected to be a precise and personalized tool for predicting the risk and prognosis of prolonged length of stay in this patient population.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2021)
Article
Orthopedics
Zichuan Ding, Jinlong Li, Bing Xu, Jian Cao, Hao Li, Zongke Zhou
Summary: The study aimed to investigate the safety, efficiency, and cost of TJA under the ERAS program and identify predictors for shorter length of stay. The results showed that 2-day discharge can be routinely applied under the rigorous ERAS program. Patients with high preoperative sleep quality, high preoperative albumin level, free of digestive disease, and undergoing THA procedure are more likely to be discharged within 2 days.
ORTHOPAEDIC SURGERY
(2022)
Article
Orthopedics
Baptiste Picart, Bertrand Lecoeur, Goulven Rochcongar, Julien Dunet, Michel Pegoix, Christophe Hulet
Summary: The study compared outcomes of TKR patients in fast-track and conventional pathways, with no significant differences in infection, readmission, or surgical revision rates between the two groups. However, fast-track group showed significantly improved pain rating and reduced length of stay, and both patients and care staff were highly satisfied with the fast-track program.
ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH
(2021)
Article
Orthopedics
Jean-Yves Jenny, Cyril Courtin, Philippe Boisrenoult, Julien Chouteau, Pierre Henky, Claude Schwartz, Aymard de Ladoucette
Summary: The study aimed to evaluate the impact of fast-track procedures on length of hospital stay after total knee arthroplasty, finding that unselected patients using FTP significantly reduced the average hospital stay, re-admission rate, and increased the rate of returning directly home.
INTERNATIONAL ORTHOPAEDICS
(2021)
Article
Orthopedics
Christoffer C. Jorgensen, Kirill Gromov, Pelle B. Petersen, Henrik Kehlet
Summary: The study investigated the impact of weekday of surgery and other potential risk factors on length of hospital stay exceeding 2 days. It found that in high-risk patients, undergoing surgery on Thursdays or Fridays resulted in longer hospital stays compared to surgeries performed from Monday to Wednesday.
Article
Orthopedics
Guorui Cao, Shiqi Xiang, Minglu Yang, Songtao Quan, Junna Yao, Litao Cai, Wei Feng, Xiuli Yang, Hong Xu, Zeyu Huang, Shaoyun Zhang, Chen Yue, Honglue Tan, Fuxing Pei
Summary: The study found that postoperative opioid use is common in patients undergoing primary total knee arthroplasty (TKA), with longer operative time being a significant risk factor for opioid use and the use of tranexamic acid being a protective factor. Additionally, patients in the opioid group had longer length of stay (LOS) compared to non-opioid users.
BMC MUSCULOSKELETAL DISORDERS
(2021)
Article
Surgery
Yun Lu, Jiang Long, Xue Leng, Yaqing Zhang, Guanzhong Wang, Jiawei Yuan, Libangxi Liu, Jiawei Fu, Minghui Yang, Yu Chen, Changqing Li, Yue Zhou, Chencheng Feng, Bo Huang
Summary: This study aimed to evaluate the impacts of Enhanced recovery after surgery (ERAS) in minimally invasive microdiscectomy (MD) surgery. Compared to the conventional group, the ERAS group had reduced length of stay, cost, and opioid use, and accelerated patient recovery.
Article
Ecology
Elizabeth Znidersic, David M. Watson
Summary: The acoustic restoration approach focuses on the applied utility of soundscapes in restoration, recognizing their ecological and social values. Broadcasting soundscapes in disturbed areas can speed up the recolonization of animals and microbes, while long duration recordings provide valuable data for benchmarking restoration initiatives and engaging the audience.
Article
Orthopedics
Xiaoguang Wang, Yinyin Chen, Jianzong Zhao, Bo Wang, Zhiping Chen
Summary: This study aimed to explore the clinical efficacy of the enhanced recovery after surgery (ERAS) program in terms of blood management for primary hip arthroplasty patients. The results showed that the ERAS group had better blood parameters and shorter length of stay compared to the control group. The ERAS scheme can reduce the impact of surgery on the patients' blood system and provide humane care.
INTERNATIONAL ORTHOPAEDICS
(2023)
Article
Gastroenterology & Hepatology
Kyle Stoner, Michael A. Preston, W. Conan Mustain, Jason S. Mizell, Gregory Mehaffey, Jonathan A. Laryea
Summary: The study indicated that the use of transversus abdominis plane block within an enhanced recovery protocol significantly reduced the length of stay and narcotic consumption in patients undergoing colorectal surgery, providing a new option for postoperative pain management.
DISEASES OF THE COLON & RECTUM
(2021)
Article
Medicine, General & Internal
Huizhong Long, Chao Zeng, Ying Shi, Haibo Wang, Dongxing Xie, Guanghua Lei
Summary: This study examines the resource utilization of total knee arthroplasty (TKA) in China, focusing on the length of stay (LOS) and inpatient charges. It finds that the LOS has decreased from 2013 to 2019, and there has been a gradual decrease in inpatient charges. However, there are sociodemographic and hospital-related discrepancies in resource utilization.
CHINESE MEDICAL JOURNAL
(2023)
Review
Medicine, General & Internal
Apostolos Prionas, Charles Craddock, Vassilios Papalois
Summary: The study compared enhanced recovery after surgery (ERAS) with traditional perioperative care for renal transplant recipients. Results showed that ERAS decreased urological complications, shortened length of stay, and did not increase unplanned readmission rates.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Surgery
M. Marckmann, P. -M. Krarup, N. A. Henriksen, M. W. Christoffersen, K. K. Jensen
Summary: Enhanced recovery after surgery (ERAS) protocols have shown positive outcomes in reducing post-operative stay and improving patient outcomes after abdominal surgery. This study investigates the optimal post-operative protocol for robotic ventral hernia repair (RVHR) and its potential for outpatient surgery. The results show that an ERAS protocol after RVHR is associated with a high rate of outpatient procedures and low patient-reported pain levels. Factors such as increased fascial defect area, longer duration of surgery, and transverse abdominis release are associated with overnight hospital stay.
Article
Obstetrics & Gynecology
Tshering Tamang, Tashi Wangchuk, Choning Zangmo, Tshering Wangmo, Karma Tshomo
Summary: This study conducted a pre-and post-implementation study of ERAS protocol among women undergoing caesarean deliveries in 2020. The results showed that implementing ERAS significantly reduced postoperative length of hospital stay and increased the proportion of patients discharged on day-2.
BMC PREGNANCY AND CHILDBIRTH
(2021)
Article
Orthopedics
Aksel Paulsen, Ane Djuv, Jarle Ludvigsen, Ingvild Dalen
Summary: This study examined the PROM results of fast-track hip and knee arthroplasty and found excellent outcomes without any postoperative restrictions. The findings suggest that a fast-track program focusing on mobilization without postoperative restrictions may be superior for most patients.
BMC MUSCULOSKELETAL DISORDERS
(2022)
Article
Multidisciplinary Sciences
Dinesh Aggarwal, Ben Warne, Aminu S. Jahun, William L. Hamilton, Thomas Fieldman, Louis du Plessis, Verity Hill, Beth Blane, Emmeline Watkins, Elizabeth Wright, Grant Hall, Catherine Ludden, Richard Myers, Myra Hosmillo, Yasmin Chaudhry, Malte L. Pinckert, Iliana Georgana, Rhys Izuagbe, Danielle Leek, Olisaeloka Nsonwu, Gareth J. Hughes, Simon Packer, Andrew J. Page, Marina Metaxaki, Stewart Fuller, Gillian Weale, Jon Holgate, Christopher A. Brown, Rob Howes, Duncan McFarlane, Gordon Dougan, Oliver G. Pybus, Daniela De Angelis, Patrick H. Maxwell, Sharon J. Peacock, Michael P. Weekes, Chris Illingworth, Ewan M. Harrison, Nicholas J. Matheson, Ian G. Goodfellow
Summary: Understanding the transmission of SARS-CoV-2 in higher education settings is crucial in limiting spread among students and at-risk populations. A study conducted at the University of Cambridge analyzed viral isolates and found limited introductions of the virus into the university. Student cases were primarily linked to a single genetic cluster, likely originating from social gatherings outside of the university. Transmission was observed within student accommodations and courses but was effectively contained through local infection control measures and a national lockdown. The study highlights important factors in SARS-CoV-2 transmission and effective interventions in higher education settings.
NATURE COMMUNICATIONS
(2022)
Article
Multidisciplinary Sciences
Dinesh Aggarwal, Andrew J. Page, Ulf Schaefer, George M. Savva, Richard Myers, Erik Volz, Nicholas Ellaby, Steven Platt, Natalie Groves, Eileen Gallagher, Niamh M. Tumelty, Thanh Le Viet, Gareth J. Hughes, Cong Chen, Charlie Turner, Sophie Logan, Abbie Harrison, Sharon J. Peacock, Meera Chand, Ewan M. Harrison
Summary: This study used genomic and contact tracing data to assess the impacts of a 14-day quarantine policy on returning travelers to England in summer 2020. The results showed that quarantine reduced onward transmission of imported cases, especially in the 16-20 age group.
NATURE COMMUNICATIONS
(2022)
Article
Health Care Sciences & Services
Joanne Gray, Stephen McCarthy, Esther Carr, Gerard Danjoux, Rhiannon Hackett, Andrew McCarthy, Peter McMeekin, Natalie Clark, Paul Baker
Summary: This study compared the use of a digital 'joint school' (DJS) with a standard 'non-digital' package of education and support for patients undergoing total hip and knee replacement surgery. The results showed that patients who used the DJS had greater improvements in health-related quality of life and functional outcomes compared to those who received standard care. Patients undergoing total hip replacement also had a shorter length of hospital stay.
BMC HEALTH SERVICES RESEARCH
(2022)
Article
Clinical Neurology
David Clark, Alexis Joannides, Amos Olufemi Adeleye, Abdul Hafid Bajamal, Tom Bashford, Hagos Biluts, Karol Budohoski, Ari Ercole, Rocio Fernandez-Mendez, Anthony Figaji, Deepak Kumar Gupta, Roger Hartl, Corrado Iaccarino, Tariq Khan, Tsegazeab Laeke, Andres Rubiano, Hamisi K. Shabani, Kachinga Sichizya, Manoj Tewari, Abenezer Tirsit, Myat Thu, Manjul Tripathi, Rikin Trivedi, Bhagavatula Indira Devi, Franco Servadei, David Menon, Angelos Kolias, Peter Hutchinson
Summary: This study examined the differences in case characteristics, treatment, and mortality of patients receiving emergency neurosurgery for traumatic brain injury (TBI) across different levels of human development. The study found that the level of human development was associated with mortality, and there was significant variation in mortality between hospitals. Opportunities to improve care globally were identified, including reducing delays to surgery.
Article
Orthopedics
Rebecca Martin, Natalie Clark, Juliet James, Paul Baker
Summary: This study demonstrates that the Exeter Short 125 mm stem implants are a safe and effective option for total hip replacements. The patient reported outcome measures for patients who received these implants were comparable to those for patients who received a 'standard' size stem.
JOURNAL OF ORTHOPAEDICS
(2022)
Article
Infectious Diseases
Oliver Eales, Andrew J. Page, Leonardo de Oliveira Martins, Haowei Wang, Barbara Bodinier, David Haw, Jakob Jonnerby, Christina Atchison, Deborah Ashby, Wendy Barclay, Graham Taylor, Graham Cooke, Helen Ward, Ara Darzi, Steven Riley, Marc Chadeau-Hyam, Christl A. Donnelly, Paul Elliott
Summary: This study analyzed genomic data from random community samples in England and found a decrease in the mutation rate of Delta and Delta sub-lineages. The proportion of Delta sub-lineage AY.4.2 was increasing, and it showed lower association with COVID-19 symptoms and a reduced mutation rate. Geographical clustering of AY.4.2 and AY.4 was observed in September but not in late October/early November, with only AY.6 exhibiting clustering in the South of England.
BMC INFECTIOUS DISEASES
(2022)
Article
Multidisciplinary Sciences
Rebecca Martin, Natalie Clark, Paul Baker
Summary: This study analyzed the demographics of patients using an online digital platform (ODP) for patient education and support in total hip and knee replacement surgeries. The results showed that the ODP was effective in providing surgery information and had high levels of patient engagement. Age and sex did not affect the accessibility of the ODP, but there were differences in how different sexes and age groups interacted with the platform.
Article
Multidisciplinary Sciences
Sema Nickbakhsh, Joseph Hughes, Nicolaos Christofidis, Emily Griffiths, Sharif Shaaban, Jessica Enright, Katherine Smollett, Kyriaki Nomikou, Natasha Palmalux, Lily Tong, Stephen Carmichael, Vattipally B. Sreenu, Richard Orton, Emily J. Goldstein, Rachael M. Tomb, Kate Templeton, Rory N. Gunson, Ana da Silva Filipe, Catriona Milosevic, Emma Thomson, David L. Robertson, Matthew T. G. Holden, Christopher J. R. Illingworth, Alison Smith-Palmer
SCIENTIFIC REPORTS
(2022)
Article
Multidisciplinary Sciences
Kerstin Klaser, Erika Molteni, Mark Graham, Liane S. Canas, Marc F. Osterdahl, Michela Antonelli, Liyuan Chen, Jie Deng, Benjamin Murray, Eric Kerfoot, Jonathan Wolf, Anna May, Ben Fox, Joan Capdevila, Marc Modat, Alexander Hammers, Tim D. Spector, Claire J. Steves, Carole H. Sudre, Sebastien Ourselin, Emma L. Duncan
Summary: This study compared the cases of COVID-19 caused by the Delta and Alpha variants. The study found that the Delta variant is more transmissible than Alpha, and some symptoms are more common with Delta infection. However, the illness duration is shorter with Delta, and vaccines have good efficacy against Delta infection.
SCIENTIFIC REPORTS
(2022)
Article
Medicine, General & Internal
Enoch Akowuah, Ayesha Mathias, Michelle Bardgett, Samantha Harrison, Adetayo S. Kasim, Kirsti Loughran, Emmanuel Ogundimu, Jason Trevis, Janelle Wagnild, Pasan Witharana, Helen C. Hancock, Rebecca H. Maier
Summary: Prehabilitation prior to surgery has been shown to reduce postoperative complications, reduce length of hospital stay and improve quality of life after cancer and limb reconstruction surgery. However, there are minimal data on the impact of prehabilitation in patients undergoing cardiac surgery, despite the fact these patients are generally older and have more comorbidities and frailty. This trial will assess the feasibility and impact of a prehabilitation intervention consisting of exercise and inspiratory muscle training on preoperative functional exercise capacity in adult patients awaiting elective cardiac surgery, and determine any impact on clinical outcomes after surgery.
Article
Orthopedics
N. D. Clement, P. Avery, J. Mason, P. N. Baker, D. J. Deehan
Summary: The aim of this study was to identify the variables associated with time to revision, demographic details associated with revision indication, and type of prosthesis employed in first-time knee revision surgery. The study found that younger age, lower ASA grade, and specific revision indications were associated with earlier time to revision. The overall re-revision rate at ten years was 16.2%.
BONE & JOINT JOURNAL
(2023)
Article
Public, Environmental & Occupational Health
S. Cotton, M. P. McHugh, R. Dewar, J. G. Haas, K. Templeton
Summary: This study investigated whether patients discharged from hospitals during the first wave of the SARS-CoV-2 epidemic in Scotland were a source of virus introduction into care homes. The majority of patients discharged did not introduce the virus into care homes, highlighting the importance of screening all new admissions when faced with a novel emerging virus and no available vaccine.
JOURNAL OF HOSPITAL INFECTION
(2023)
Article
Anesthesiology
E. F. Akowuah, J. M. Wagnild, M. Bardgett, J. G. Prichard, A. Mathias, S. L. Harrison, E. O. Ogundimu, H. C. Hancock, R. H. Maier
Summary: The feasibility, safety and efficacy of prehabilitation in adult patients awaiting elective cardiac surgery were evaluated in this study. The results showed that prehabilitation did not significantly improve patients' exercise capacity and quality of life. Future research should focus on patients with sarcopenia and include inspiratory muscle strength training.
Article
Orthopedics
Tom Appleyard, Peter Avery, Paul Baker, Nick D. Clement, James Mason, David J. Deehan
Summary: This study analyzed data of patients who underwent revision from UKR to HKR, describing their epidemiology, factors influencing time to revision, and the survival rate of HKR. The most common indications for revision were instability and infection. Factors associated with earlier revision included periprosthetic fracture and malalignment, while progressive osteoarthritis and higher ASA grades delayed time to revision. Ten patients required subsequent re-revision, with male sex and younger age associated with re-revision.
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
(2023)
Article
Orthopedics
P. N. Baker, R. Jeyapalan, S. S. Jameson
Summary: The recent UK national reports on implant and surgeon performance (Cumberlege and Paterson) have emphasized the importance of registries. National arthroplasty registries provide real-time, real-world information about implant, hospital, and surgeon performance, and facilitate case identification in the event of adverse outcomes or product recalls. Due to the large volume and longitudinal nature of data collection, they are a valuable resource for research and service improvement. This review discusses the current value of registry data in clinical practice and research.
BONE & JOINT JOURNAL
(2023)
