Brazilian Journal of Anesthesiology
https://bjan-sba.org/article/doi/10.1016/j.bjane.2021.05.008
Brazilian Journal of Anesthesiology
Clinical Research

Early mobilization after total hip or knee arthroplasty: a substudy of the POWER.2 study

Javier Ripollés-Melchor, César Aldecoa, Raquel Fernández-García, Marina Varela-Durán, Norma Aracil-Escoda, Daniel García-Rodríguez, Lucia Cabezudo-de-la-Muela, Lucía Hormaechea-Bolado, Beatriz Nacarino-Alcorta, Rolf Hoffmann, Juan V. Lorente, José M. Ramírez-Rodríguez, Ane Abad-Motos, POWER2 Study Investigators Group for the Spanish Perioperative Audit and Research Network (RedGERM-SPARN)

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Abstract

Background
Early mobilization after surgery is a cornerstone of the Enhanced Recovery After Surgery (ERAS) programs in total hip arthroplasty (THA) or total knee arthroplasty (TKA). Our goal was to determine the time to mobilization after this surgery and the factors associated with early mobilization.

Methods
This was a predefined substudy of the POWER.2 study, a prospective cohort study conducted in patients undergoing THA and TKA at 131 Spanish hospitals. The primary outcome was the time until mobilization after surgery as well as determining those perioperative factors associated with early mobilization after surgery.

Results
A total of 6093 patients were included. The median time to achieve mobilization after the end of the surgery was 24 hours [16–30]. 4,222 (69.3%) patients moved in ≤ 24 hours after surgery. Local anesthesia [OR = 0.80 (95% confidence interval [CI]: 0.72–0.90); p = 0.001], surgery performed in a self-declared ERAS center [OR = 0.57 (95% CI: 0.55–0.60); p < 0.001], mean adherence to ERAS items [OR = 0.93 (95% CI: 0.92–0.93); p < 0.001], and preoperative hemoglobin [OR = 0.97 (95% CI: 0.96–0.98); p < 0.001] were associated with shorter time to mobilization.

Conclusions
Most THA and TKA patients mobilize in the first postoperative day, Early time to mobilization was associated with the compliance with ERAS protocols, preoperative hemoglobin, and local anesthesia, and with the absence of a urinary catheter, surgical drains, epidural analgesia, and postoperative complications. The perioperative elements that are associated with early mobilization are mostly modifiable, so there is room for improvement.

Keywords

Total hip arthroplasty; Total knee arthroplasty; Enhanced Recovery After Surgery (ERAS); Early mobilization; Local anesthesia

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