Quality assurance in primary total hip arthroplasty

Christos Koutras; Isabel Becker; Stavros A Antoniou; Hansjoerg Heep

doi:10.1016/j.jor.2020.03.009

Quality assurance in primary total hip arthroplasty

J Orthop. 2020 Mar 24:21:122-126. doi: 10.1016/j.jor.2020.03.009. eCollection 2020 Sep-Oct.

Authors

Christos Koutras¹, Isabel Becker², Stavros A Antoniou³, Hansjoerg Heep⁴

Affiliations

¹ Musculoskeletal Center Moenchengladbach, Neuwerk Hospital, Duenner Straße, 214-216, Moenchenglabach, Germany.
² University Duisburg-Essen, Hufelandstraße 55, 45147, Essen, Germany.
³ European University Cyprus, Medical School, Diogenous Str. 6, 2404, Engomi, Nicosia, Cyprus.
⁴ St. Josef Krankenhaus Essen-Werden, Propsteistraße 2, 45239, Essen, Germany.

Abstract

Objective: To compare two different methods of clinical outcomes documentation and investigate the potential impact of a quality assurance program.

Methods: Data on primary hip arthroplasties conducted between 2004 and 2014 were prospectively collected and analyzed.

Results: A total of 262/3395 patients suffered a postoperative complication. A reduction of complication rate was observed between 2010 and 2014. A significant difference between the two documentation methods was found in: "cardiovascular complications", "hematoma and postoperative hemorrhage" and "reintervention". Finally, the "normalized length of hospital stay" predicted the occurrence of complications.

Conclusion: Reduction of the incidence of complications through time may be attributed to accumulated surgical experience.

Keywords: Arthroplasty; Data collection; Health care; Hip; NormAge, normalized age; NormLOS, normalized length of hospital stay; NormSD, normalized duration of operation; Quality assurance; Replacement.