Date of Conferral

2020

Degree

Ph.D.

School

Public Health

Advisor

Gudeta Fufaa

Abstract

The World Health Organization considers hip replacement one of the main public health concerns of this 21st century. An enhanced recovery after surgery (ERAS) approach has proved to be an effective and efficient approach to treat patients in need of a hip replacement. The quality of life (QOL) of patients who have undergone a hip replacement surgery with an ERAS approach has not been documented due to its recent development as a possibility for hip surgery. The objective of this study was to compare QOL, length of stay (LOS), and surgery risks of patients undergoing hip replacement surgery with or without an ERAS approach. The study design used was a research control trial based on a secondary data set containing 224 participants. Multivariate analysis results demonstrate a significant difference in EQ-5D-5L scores before and after surgery in both traditional and ERAS surgery. LOS of patients was significantly reduced with an ERAS LOS mean of 4.4 days (SD = 1.44) compared to 11.45 days (SD = 3.57) for the traditional approach. Additionally, ERAS participants had 6% less risk of developing a post-surgery complication compared to the traditional approach. The findings of this research highlight positive social change implications as this study demonstrates that the ERAS approach improves the QOL of elderly people who have undergone a hip surgery. Findings will help orient public health resource allocation toward ERAS hip replacement surgery.

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