No increase in readmissions or adverse events after implementation of fast-track program in total hip and knee replacement at 8 Swedish hospitals

No increase in readmissions or adverse events after implementation of fast-track program in total hip and knee replacement at 8 Swedish hospitals: An observational before-and-after study of 14,148 total joint replacements 2011–2015
Acta Orthop. 2018 Oct; 89(5): 522–527

• Implementation of a fast-track program in routine care of joint replacement in 8 Swedish hospitals resulted in a decrease in median hospital length of stay from 5 to 3 days in both THR and TKR. 
• The total readmission rate <90 days for THR was 7.2% with fast-track compared with 6.7% in the previous program, and for TKR 8.4% in both groups. 
• Almost half of the readmissions occurred without any AE identified. 
• There was no statistically significant difference concerning readmissions or AE when comparing the programs.