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 |