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Table 4 Program outcome results

From: Does implementation of an enhanced recovery after surgery program for hip replacement improve quality of recovery in an Australian private hospital: a quality improvement study

Outcome

Pre-implementation

Post-implementation

Difference or RoM (95% CI)

p-value

QoR-15: mean (SD)a

 Day 1

106.13 (22.86)

103.83 (21.31)

Diff −3.96 (−9.41, 1.49)

0.154

 Day 2

116.13 (21.73

115.04 (20.96)

Diff −1.94 (−7.25, 3.38)

0.476

 Week 6 (primary outcome)

128.87 (17.10)

131.14 (13.50)

Diff 1.09 (−3.31, 5.49)

0.628

Worst NRS score: mean (SD)b

 Day 1 (rest)

3.73 (2.92)

4.14 (3.14)

Diff 0.33 (−0.45, 1.11)

0.401

 Day 1 (movement)

5.35 (2.60)

5.46 (2.81)

Diff 0.14 (−0.53, 0.81)

0.681

 Day 2 (rest)

2.54 (2.27)

3.00 (2.67)

Diff 0.43 (−0.20, 1.07)

0.183

 Day 2 (movement)

4.52 (2.61)

4.78 (2.58)

Diff 0.28 (−0.39, 0.96)

0.414

 Week 6 (rest)

1.18 (1.88)

0.92 (1.38)

Diff −0.19 (− 0.66, 0.29)

0.444

 Week 6 (movement)

1.76 (2.25)

1.89 (2.21)

Diff 0.19 (−0.46, 0.85)

0.562

OME consumption (mg/day): mean (SD)c

 Day 1

75 (45, 120)

75 (46, 105)

Diff −5.0 (−20.21, 10.21)

0.518

 Day 2

45 (30, 75)

50 (30, 75)

Diff 0 (−11.94, 11.94)

> 0.999

 Week 6

0 (0, 15)

0 (0, 0)

Diff 0 (− 10.90, 10.90)

> 0.999

10MWT (minutes): median (Q1; Q3)

 Day 3

0.40 (0.28; 0.71)

0.47 (0.26; 0.60)

Diff 0.04 (−0.06, 0.15)

0.440

Duration of hospital stay (days): mean (SD)

 Entire group

5.94 (5.21)

5.02 (2.46)

RoM 0.89 (0.74, 1.07)

0.212

  Unadjusted comparison

  

RoM 0.84 (0.70, 1.02)

0.072

 Subgroup

5.91 (5.35)

4.89 (1.97)

RoM 0.86 (0.71, 1.04)

0.114

  Unadjusted comparison

  

RoM 0.83 (0.68, 1.00)

0.051

WHODAS 2.0 score: mean (SD)

 Week 6

18.17 (7.06)

17.97 (6.37)

Diff 0.40 (−1.42, 2.22)

0.663

Unplanned hospital readmission: n(%)

5 (4.35)

8 (6.96)

  
  1. Abbreviations: NRS numeric rating scale, OME oral morphine equivalents, Q1 25th percentile, Q3 75th percentile, QoR-15 Quality of Recovery-15, RoM ratio of means
  2. aadjusted for pre-operative QoR-15, respiratory disease, preoperative anaemia and history of PONV.
  3. badjusted for pre-operative NRS score, respiratory disease, preoperative anaemia and history of PONV
  4. cadjusted for pre-operative OME, respiratory disease, preoperative anaemia and history of PONV