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Table 3 Unadjusted postoperative outcomes: all spinal anesthesia groups

From: Postoperative outcomes of mepivacaine vs. bupivacaine in patients undergoing total joint arthroplasty with spinal anesthesia

Outcome – n (%) or Avg. ± SD

Total Hip Arthroplasty

Total Knee Arthroplasty

Hyperbaric Bupivacaine (n=401)

Isobaric Bupivacaine (n=34)

Mepivacaine (n=232)

P-Value

Hyperbaric Bupivacaine (n=502)

Isobaric Bupivacaine (n=28)

Mepivacaine (n=131)

P-Value

0-Day LOS

96 (23.9)a

8 (23.5)a

141 (60.8)b

<0.001

55 (11.0)a

4 (14.3)a

138 (52.7)b

<0.001

LOS Days

0.92 ± 0.79a

1.12 ± 1.00a

0.43 ± 0.59b

<0.001

1.09 ± 0.91a

1.00 ± 0.61a

0.51 ± 0.59b

<0.001

Failed SDD Attempt

22 (5.5)a

4 (11.8)a

14 (6.0)a

0.334

17 (3.4)

0 (0.0)

6 (2.3)

0.449

Ambulated POD0

282 (70.3)a

19 (55.9)a

196 (84.5)b

<0.001

328 (65.3)a

17 (60.7)a

225 (85.9)b

<0.001

First 6-Clicks Mobility Scorea

20.48 ± 2.75a

18.82 ± 2.92b

20.43 ± 2.51a

0.003

20.13 ± 2.75a

20.5 ± 2.5a

19.98 ± 2.50a

0.607

First PT Ambulation Distance (ft)b

151.52 ± 97.51a

142.55 ± 114.21a,b

184.30 ± 84.84b

<0.001

134.57 ± 98.89a

111.67 ± 77.44a

165.24 ± 101.79b

<0.001

Urinary Retention

5 (1.2)a

2 (5.9)b

3 (1.3)a,b

0.097

6 (1.2)a

0 (0.0)a

2 (0.8)a

0.734

Home Discharge

389 (97.0)a

31 (91.2)a

232 (100.0)b

0.001

486 (96.8)a

27 (96.4)a,b

260 (99.2)b

0.106

30-Day Readmission

8 (2.0)a

0 (0.0)a

4 (1.7)a

0.699

30 (6.0)a

0 (0.0)a,b

4 (1.5)b

0.008

30-Day ED Return

15 (3.7)a

0 (0.0)a

5 (2.2)a

0.305

15 (3.0)a

0 (0.0)a

9 (3.4)a

0.599

  1. P-Values <0.05 in bold
  2. Subscript letters denote post hoc groups that do not differ from each other at P<0.05, continuous values are Bonferroni adjusted.
  3. LOS length of stay, SDD same day discharge, POD postoperative day, PT physical therapy, ED emergency department
  4. an= THA 367 HB, 33 IB, 188 M; TKA 502 HB, 28 IB, 262 M
  5. bn= 362 HB, 33 IB, 179 M; TKA 467 HB, 27 IB, 191 M