Effect of Surgical Start Time on Length of Stay, Morbidity Rate, and Surgical Risk in Elective Total Hip Arthroplasty.

Michael J Patetta, Justin T DesLaurier, Elan Volchenko, Jessica A Hossa, Matthew A Siegel, Abhishek Deshpande, Lucas Paladino, Asher E Lichtig, Mark D Orland, Hristo I Piponov, Mark H Gonzalez
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Abstract

There is conflicting literature regarding the effect of surgical start time for total hip arthroplasty (THA) on morbidity. This study examined outcomes between start time groups in elective THA. A retrospective review identified patients undergoing elective cementless primary THA between 2009 and 2019. Patients were divided into morning or evening start time groups. Chi-squared analysis and independent sample t-tests were run to detect differences between groups in matched and unmatched analysis. Five hundred fifteen patients were identified based on selection criteria. Chi-squared analysis and independent sample t-tests identified no significant differences in duration of surgery, estimated blood loss, length of stay, or other complications between start time groups. This study provided clinical data over a 10-year period supporting that surgical start time in elective THA does not have a significant impact on outcomes. (Journal of Surgical Orthopaedic Advances 33(4):240-243, 2024).

手术开始时间对选择性全髋关节置换术患者住院时间、发病率和手术风险的影响。
关于手术开始时间对全髋关节置换术(THA)发病率的影响,文献存在矛盾。本研究考察了选择性THA开始时间组之间的结果。一项回顾性研究确定了2009年至2019年期间接受选择性无骨水泥原发性THA的患者。患者分为早晚两组。采用卡方分析和独立样本t检验检测匹配分析和不匹配分析组间差异。根据选择标准确定了515例患者。卡方分析和独立样本t检验发现,在开始时间组之间,手术时间、估计失血量、住院时间或其他并发症没有显著差异。该研究提供了超过10年的临床数据,支持选择性THA手术开始时间对预后没有显著影响。[j] .外科骨科进展,33(4):240- 243,2024。
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