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首页> 外文期刊>Journal of orthopaedic nursing >Day two post operative 'fast-track'discharge following primary total hip replacement
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Day two post operative 'fast-track'discharge following primary total hip replacement

机译：初次全髋置换术后第二天“快速”出院

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Since December 2002 one Surgeon in the Outcomes unit at Musgrave Park Hospital (MPH), Belfast, has been carrying out minimally invasive hip arthroplasty. The use of a smaller surgical incision and a 'fast track' rehabilitation protocol for selected patients is enabling earlier mobilisation and discharge. Between January 2003 and February 2004, 428 total hip replacements (THRs) were carried out, and 58% of the patients were eligible for day 2 discharge. 82 patients were discharged on day 2 (19.1%), all to their own home. 57 (69.5%) were males and 25 (30.5%) were females. The mean patient age was 59 years (range 37-84). Men were more likely to be discharged than women. This patient group tended to have a lower body mass index (mean 27.6, range 20.5-37.0) than the overall population of patients (29.6, range 17-45). 73 patients had a normal post discharge recovery and only 9 had problems. This study has shown that patients who successfully went home on day 2 are typically thinner (as evidenced by mean BMI of 27.6), younger (mean age 59), healthier (all ASA 1 or 2), and more likely to be male. We have concluded that it is safe to discharge young fit patients on day two following primary THR. Patient education, motivation and good home support are the key to day 2 discharge.
机译：自2002年12月以来，贝尔法斯特Musgrave Park医院（MPH）的一名预科外科医生开始进行微创髋关节置换术。对于选定的患者，使用较小的手术切口和“快速通道”康复方案可实现早期动员和出院。在2003年1月至2004年2月之间，共进行了428次髋关节置换术（THR），其中58％的患者符合第二天出院的条件。第2天有82例患者出院（19.1％），全部出院。男性57（69.5％），女性25（30.5％）。患者平均年龄为59岁（范围37-84）。男性比女性更容易出院。该患者群体的体重指数（平均27.6，范围20.5-37.0）往往低于患者的总体人群（29.6，范围17-45）。 73例出院后恢复正常，只有9例有问题。这项研究表明，在第2天成功回家的患者通常较瘦（如平均BMI为27.6所证明），更年轻（平均年龄59），更健康（均为ASA 1或2），并且更可能是男性。我们得出的结论是，在原发性THR后第二天出院的年轻患者是安全的。患者的教育，积极性和良好的家庭支持是第二天出院的关键。

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