Article

OBJECTIVE: To identify the preoperative patient-related characteristics
predicting inpatient recovery of functioning and/or length of hospital stay after
elective primary total hip arthroplasty. DESIGN:
A search was conducted of the
electronic databases MEDLINE, EMBASE and CINAHL from inception through April
2014. Observational studies were selected for systematic review if they
identified clinically relevant preoperative prognostic factors and reported an
association between inpatient recovery of physical functioning and/or length of
hospital stay. Study participants were adults undergoing an elective primary
total hip arthroplasty. RESULTS: Fourteen studies were included, a total of
199,410 individual total hip arthroplasty procedures. Two studies investigated
inpatient recovery of physical functioning, no strong level of evidence was found
for a relationship between functional recovery and any of the preoperative
predictors. Twelve studies investigated the length of hospital stay and reported
19 preoperative prognostic factors. A strong level of evidence suggested that
higher scores on the American Society of Anaesthesiologists assessment (OR 3.34
to 6.22, +0.20 days), increased number of comorbidities
(RR of 1.10, +0.59 to
1.61 days), presence of heart disease, (RR of 1.59, +0.26 days), and presence of
lung disease (RR of 1.30, +0.34 days) were associated with longer lengths of
hospital stay following total hip arthroplasty. CONCLUSION:
For the prediction of
inpatient recovery of physical functioning no factors with a strong level of
evidence were found. For length of stay there was a strong level of evidence for
the American Society of Anaesthesiologists score, number of comorbidities, and
presence of heart or lung disease.
CI - (c) The Author(s) 2014.

Langue : ANGLAIS