Fifty patients undergoing ACLR between May and September 2010 were studied prospectively (鈥渟tudy group鈥?. SOPs were designed for pre-operative assessment, anaesthesia, surgical procedure, mobilisation and discharge. We evaluated length of stay, readmission rates, patient satisfaction and compliance to SOPs. A retrospective analysis of 50 patients who underwent ACLR prior to implementation of the day-case pathway was performed (鈥渟tandard practice group鈥?.
Eighty percent of patients in the study group were discharged on the day of surgery (mean length of stay = 5.3 h) compared to 16%in the standard practice group (mean length of stay = 21.6 h). This difference was statistically significant (p < 0.05, Mann-Whitney U test). All patients were satisfied with the day case pathway. Ninety-two percent of the study group were discharged on the day of surgery when all SOPs were followed and 46%where they were not.
High rates of day-case ACLR with excellent patient satisfaction can be achieved with the use of a specialised patient pathway with SOPs.