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dc.contributor.authorWinther, Siri Bjørgen
dc.contributor.authorFoss, Olav A.
dc.contributor.authorWik, Tina Strømdal
dc.contributor.authorDavis, Shawn Patric
dc.contributor.authorEngdal, Monika
dc.contributor.authorJessen, Vigleik
dc.contributor.authorHusby, Otto Schnell
dc.identifier.citationActa Orthopaedica. 2015, 86 (1), 78-85.nb_NO
dc.description.abstractBackground — Fast–track has become a well–known concept resulting in improved patient satisfaction and postoperative results. Concerns have been raised about whether increased efficiency could compromise safety, and whether early hospital discharge might result in an increased number of complications. We present 1–year follow–up results after implementing fast–track in a Norwegian university hospital. Methods — This was a register–based study of 1,069 consecutive fast–track hip and knee arthroplasty patients who were operated on between September 2010 and December 2012. Patients were followed up until 1 year after surgery. Results — 987 primary and 82 revision hip or knee arthroplasty patients were included. 869 primary and 51 revision hip or knee patients attended 1–year follow–up. Mean patient satisfaction was 9.3 out of a maximum of 10. Mean length of stay was 3.1 days for primary patients. It was 4.2 days in the revision hip patients and 3.9 in the revision knee patients. Revision rates until 1–year follow–up were 2.9% and 3.3% for primary hip and knee patients, and 3.7% and 7.1% for revision hip and knee patients. Function scores and patient–reported outcome scores were improved in all groups. Interpretation — We found reduced length of stay, a high level of patient satisfaction, and low revision rates, together with improved health–related quality of life and functionality, when we introduced fast–track into an orthopedic department in a Norwegian university hospital.nb_NO
dc.publisherTaylor & Francisnb_NO
dc.rightsNavngivelse-Ikkekommersiell 4.0 Internasjonal*
dc.title1-year follow-up of 920 hip and knee arthroplasty patients after implementing fast-track: Good outcomes in a Norwegian university hospitalnb_NO
dc.typeJournal articlenb_NO
dc.typePeer reviewednb_NO
dc.source.journalActa Orthopaedicanb_NO
dc.description.localcodeOpen Access – This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the source is credited.nb_NO
cristin.unitnameInstitutt for nevromedisin og bevegelsesvitenskap
cristin.unitnameKlinikk for ortopedi, revmatologi og hudsykdommer
cristin.unitnameKlinikk for anestesi og intensivmedisin
cristin.unitnameKlinikk for kliniske servicefunksjoner

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Navngivelse-Ikkekommersiell 4.0 Internasjonal
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