{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T22:55:20Z","timestamp":1777676120473,"version":"3.51.4"},"reference-count":43,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2014,1,30]],"date-time":"2014-01-30T00:00:00Z","timestamp":1391040000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["HIP International"],"published-print":{"date-parts":[[2014,3]]},"abstract":"<jats:p>We present three- to five- year results of 100 sequential patients undergoing total hip replacement (THR) through a multidisciplinary rapid recovery programme, with mean length of stay (LOS) 1.99 nights.<\/jats:p>\n                  <jats:p>Patients attend pre-admission \u2018bone school\u2019, with talks and assessments by the senior sister, physiotherapist and occupational therapist. All receive an uncemented Corail-Pinnacle THR via piriformis-sparing mini-posterior approach. \u2018Low dose\u2019 spinal plus light general anaesthesia provides sensory block whilst retaining motor function; painfree mobilisation is predictably achieved within four hours. Following radiograph and haemoglobin check next morning, patients are discharged on meeting specific nursing\/physiotherapy criteria. Those within 20 miles receive outreach follow-up. Follow-up assessment is undertaken using SF36, Visual Analogue, Merle d'Aubign\u00e9-Postel and Oxford Hip Scores. Mean age was 65 years (25-91), mean BMI 28.7 (19-43). ASA ranged 1-3 (mode 2), Charlson comorbidity index from 0-9 (mode 3). Major complications were: one dislocation with deep infection; one myocardial infarction; one trochanteric bursitis requiring exploration; one ceramic fracture; and three metal debris reactions. Several more minor complications occurred. LOS was longer in older patients (p = 0.03) and those with higher Charlson index (p = 0.02).<\/jats:p>\n                  <jats:p>Eighty-two patients remain under follow-up, (mean 37.8 months, range 36-61). Six have died; five underwent revision; seven have moved away or been lost. Ninety-seven percent remain quite or very satisfied.<\/jats:p>\n                  <jats:p>Our LOS is amongst the shortest in the United Kingdom, with encouraging outcomes. The SSP succeeds by involving all team-members, and managing patient expectation. At a time of limited healthcare resources we propose that our SSP could readily be reproduced elsewhere with similar benefits.<\/jats:p>","DOI":"10.5301\/hipint.5000100","type":"journal-article","created":{"date-parts":[[2014,4,17]],"date-time":"2014-04-17T09:48:40Z","timestamp":1397728120000},"page":"167-174","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":23,"title":["A Multidisciplinary Enhanced Recovery Programme Allows Discharge within Two days of Total Hip Replacement; Three- to Five-Year Results of 100 Patients"],"prefix":"10.1177","volume":"24","author":[{"given":"Sebastian J.","family":"Dawson-Bowling","sequence":"first","affiliation":[{"name":"The Conquest Hospital, Hastings, East Sussex - UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shilpa","family":"Jha","sequence":"additional","affiliation":[{"name":"The Conquest Hospital, Hastings, East Sussex - UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Krissen K.","family":"Chettiar","sequence":"additional","affiliation":[{"name":"The Conquest Hospital, Hastings, East Sussex - UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Debra J.","family":"East","sequence":"additional","affiliation":[{"name":"The Conquest Hospital, Hastings, East Sussex - UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gerard C.","family":"Gould","sequence":"additional","affiliation":[{"name":"The Conquest Hospital, Hastings, East Sussex - UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hugh D.","family":"Apthorp","sequence":"additional","affiliation":[{"name":"The Conquest Hospital, Hastings, East Sussex - UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2014,1,30]]},"reference":[{"key":"bibr1-hipint.5000100","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.J.00851"},{"key":"bibr2-hipint.5000100","doi-asserted-by":"publisher","DOI":"10.1054\/arth.2003.50030"},{"key":"bibr3-hipint.5000100","doi-asserted-by":"publisher","DOI":"10.1097\/00006247-199103000-00022"},{"key":"bibr4-hipint.5000100","doi-asserted-by":"publisher","DOI":"10.1097\/00006416-199311000-00004"},{"key":"bibr5-hipint.5000100","unstructured":"The Health and Social Care Information Centre, Hospital Episode Statistics for England. Inpatient statistics, 2011-12. Available from: http:\/\/www.hscic.gov.uk\/searchcatalogue?productid=9161&q=title%3a%22Hospital+Episode+Statistics%2c+Admitted+Patient+Care%22&sort=Relevance&size=10&page=1#top. 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