Abstract

Title: Factors associated with longer hospitalization in patients undergoing total hip arthroplasty
Introduction: Total hip arthroplasty is one of the most successful and cost-benefit interventions in health care. The present study was designed and performed to determine the factors affecting the long-term survival of patients after total hip arthroplasty.
Material and Methods: In this retrospective cross-sectional study, 100 patients who underwent hip arthroplasty from September 2017 to March 2019 were included in the study. Patients who underwent hip arthroplasty reoperation or bilateral hip arthroplasty surgery were excluded from the study.
Results: The mean duration of hospitalization was 5.91± 1.8 days. The mean age of patients in the study was 56.37± 14.79 years and the mean duration of surgery was 2.76 ± 0.36 hours. There was no significant relationship between length of hospital stay and age and duration of surgery. Women made up 42.0% of the study population and 46.0% of patients had a history of at least one underlying disease. There was no significant difference between men and women (5.88 vs. 5.93 days) and individuals with and without underlying disease (5.88 vs. 5.93 days) in of length of hospital stay. Individuals who received blood during surgery had significantly longer hospital stays (6.63 vs. 5.57 days). Also, the type of anesthesia (general 5.76 days and spinal 6.22 days) and the type of surgery (emergency 6.48 days and elective 5.79 days) had no effect on the duration of hospitalization.
Conclusion: The results of this study showed that blood transfusion is associated with increased length of hospital stay in patients. There was no significant relationship between length of hospital stay and gender, age, past medical history, type of anesthesia, type of surgery and duration of surgery.