The care for patients receiving total hip and knee arthroplasty at the University of Arkansas for Medical Sciences has followed a structured care pathway since July 2015. This system of perioperative care has focused on preoperative assessment of medical co-morbidities and risks to postoperative functional recovery, anesthetic care focused on postoperative nausea and vomiting prevention and optimizing immediate postoperative functional ability, and aggressive postoperative physical therapy. This is an observational study to look at the outcomes of this program at University of Arkansas for Medical Sciences. Areas of focus will be hospital length of stay, postoperative narcotic consumption, Visual Analog Scale scores, incidence of postoperative nausea and vomiting, and 30-day readmission rates, and health literacy rates.
Study Type
OBSERVATIONAL
Enrollment
500
Patients who received either a total knee or hip arthroplasty will be identified
University of Arkansas for MEdical Sciences
Little Rock, Arkansas, United States
Length of Stay
Postoperative hospital length of stay
Time frame: 7/1/2015 - 7/1/2016
narcotic consumption
30-day postoperative narcotic consumption
Time frame: 7/1/2015 - 7/1/2016
Pain scores
postoperative VAS pain scores
Time frame: 7/1/2015 - 7/1/2016
30-day readmission
30-day hospital readmission following procedure
Time frame: 7/1/2015 - 7/1/2016
infection
Surgical site infections
Time frame: 7/1/2015 - 7/1/2016
PONV
postoperative nausea and vomiting
Time frame: 7/1/2015 - 7/1/2016
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