The Impact of Room-Sharing on Length of Stay After Total Hip or Knee Arthroplasty: A Retrospective Study

Tong, Yui Yee Felice; Karunaratne, Sascha; Youlden, Daniel J.; Gupta, Sanjeev

doi:10.1016/j.artd.2021.03.017

Cited by 2 publications

(17 citation statements)

References 31 publications

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“…Eight papers assessed complications specifically in routine care and all assessed care of adults. (7,10,16,22,41,63–65) Only one study reported results with significance assessed, which showed reduced incidence of delirium among older adults with dementia nursed in single rooms (hazard ratio 0.66, 95% CI 0.48–0.93, p<0.02). (65) The Scottish guidelines on delirium recommend reducing light and noise and having familiar items around patients with or at risk of developing delirium,(64) which might be supported by this finding.…”

Section: Resultsmentioning

confidence: 99%

“…(48) The other favoured shared accommodation, with fewer patients returning to theatre within 6 weeks of treatment. (63)…”

Section: Resultsmentioning

confidence: 99%

“…Fifty-three publications, including two evidence syntheses, reported on length of stay associated with single-room accommodation (see Figure 5 and supplementary Table 16). (7–13,15–20,22–27,35,36,40,41,43,46–49,52,53,55,56,60–63,65,69,73–75,85,91,96,96,107,112,113,125,134,143,147–149) Twenty-eight were before-and-after studies, 23 were contemporaneous studies, one used mixed study designs, and two were evidence syntheses. Five of the studies were classified as being of low quality but only seven fell into the high-quality category.…”

Section: Resultsmentioning

confidence: 99%

“…Of 20 studies assessing routine care, 18 concerned adults and the elderly. (7,8,22,26,27,35,36,41,63,65,69,77,112,113,134,143,147,149) Among these, eight found that length of stay was shorter in single rooms,(7,16,26,27,41,65,112,147,149) but in the study by Maben et al(26) this was true only for an older people’s ward and not for a medical assessment unit, and in that by Lawson and Phiri,(27) while it was true for non-surgical orthopaedic patients and psychiatric patients, no difference was seen for surgical orthopaedic patients. One study found that length of stay was shorter in shared accommodation among older patients with dementia, overall and among those who had experienced inpatient falls.…”

Section: Resultsmentioning

confidence: 99%

“…(22) No difference in overall length of stay was reported in seven studies, including two evidence syntheses. (8,35,36,63,69,134,143)…”

Section: Resultsmentioning

confidence: 99%

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The clinical, humanistic, and economic outcomes, including experiencing of patient safety events, associated with admitting patients to single rooms compared with shared accommodation for acute hospital admissions. A narrative synthesis systematic literature review

Bertuzzi¹,

Martin

Clarke

et al. 2022

Preprint

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Objectives: Assess the impact of single rooms versus multioccupancy accommodation on inpatient health-care outcomes and processes. Design: Systematic review. Setting: Hospitals and secondary care units. Participants: Inpatients receiving routine, emergency, high-dependency, or intensive care with a named type of hospital accommodation. Main outcome measures: Qualitative synthesis of findings. Results: Of 4,861 citations initially identified, 215 were deemed suitable for full-text review, of which 145 were judged to be relevant to this review. Five main method types were reported: 60 before-and-after comparisons, 75 contemporaneous comparisons, 18 qualitative studies of accommodation preferences, 10 evidence syntheses. All studies had methodological issues that potentially biased the results by not adjusting for confounding factors that are likely to have contributed to the outcomes. Ninety-two papers compared clinical outcomes for patients in single rooms versus shared accommodation, but no clearly consistent conclusions could be drawn about overall benefits of single rooms versus shared accommodation (multioccupancy rooms, bays, or wards). Single rooms were most likely to be associated with a small overall clinical benefit for the most severely ill patients, especially neonates in intensive care. Patients who preferred single rooms tended to do so for privacy, and for reduced disturbances. By contrast, men, older adults, children, and adolescents were more likely to prefer shared accommodation to avoid loneliness. While shared accommodation seemed to be the most cost-effective approach for construction, greater costs associated with building single rooms were small and likely to be recouped over time by other efficiencies. Conclusions: The lack of difference between inpatient accommodation types in a large number of studies suggests that there would be little effect on clinical outcomes, particularly in routine care. Patients in intensive care areas are most likely to benefit from single rooms. Most patients preferred single rooms for privacy and some preferred shared accommodation for avoiding loneliness.

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Section: Resultsmentioning

confidence: 99%

“…(48) The other favoured shared accommodation, with fewer patients returning to theatre within 6 weeks of treatment. (63)…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…(22) No difference in overall length of stay was reported in seven studies, including two evidence syntheses. (8,35,36,63,69,134,143)…”

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

The clinical, humanistic, and economic outcomes, including experiencing of patient safety events, associated with admitting patients to single rooms compared with shared accommodation for acute hospital admissions. A narrative synthesis systematic literature review

Bertuzzi¹,

Martin

Clarke

et al. 2022

Preprint

View full text Add to dashboard Cite

show abstract

Clinical, humanistic and economic outcomes, including experiencing of patient safety events, associated with admitting patients to single rooms compared with shared accommodation for acute hospital admissions: a systematic review and narrative synthesis

Bertuzzi¹,

Martin²,

Clarke³

et al. 2023

BMJ Open

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ObjectivesAssess the impact of single rooms versus multioccupancy accommodation on inpatient healthcare outcomes and processes.DesignSystematic review and narrative synthesis.Data sourcesMedline, Embase, Google Scholar and the National Institute for Health and Care Excellence website up to 17 February 2022.Eligibility criteriaEligible papers assessed the effect on inpatients staying in hospital of being assigned to a either a single room or shared accommodation, except where that assignment was for a direct clinical reason like preventing infection spread.Data extraction and synthesisData were extracted and synthesised narratively, according to the methods of Campbellet al.ResultsOf 4861 citations initially identified, 145 were judged to be relevant to this review. Five main method types were reported. All studies had methodological issues that potentially biased the results by not adjusting for confounding factors that are likely to have contributed to the outcomes. Ninety-two papers compared clinical outcomes for patients in single rooms versus shared accommodation. No clearly consistent conclusions could be drawn about overall benefits of single rooms. Single rooms were most likely to be associated with a small overall clinical benefit for the most severely ill patients, especially neonates in intensive care. Patients who preferred single rooms tended to do so for privacy and for reduced disturbances. By contrast, some groups were more likely to prefer shared accommodation to avoid loneliness. Greater costs associated with building single rooms were small and likely to be recouped over time by other efficiencies.ConclusionsThe lack of difference between inpatient accommodation types in a large number of studies suggests that there would be little effect on clinical outcomes, particularly in routine care. Patients in intensive care areas are most likely to benefit from single rooms. Most patients preferred single rooms for privacy and some preferred shared accommodation for avoiding loneliness.PROSPERO registration numberCRD42022311689.

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The Impact of Room-Sharing on Length of Stay After Total Hip or Knee Arthroplasty: A Retrospective Study

Cited by 2 publications

References 31 publications

The clinical, humanistic, and economic outcomes, including experiencing of patient safety events, associated with admitting patients to single rooms compared with shared accommodation for acute hospital admissions. A narrative synthesis systematic literature review

The clinical, humanistic, and economic outcomes, including experiencing of patient safety events, associated with admitting patients to single rooms compared with shared accommodation for acute hospital admissions. A narrative synthesis systematic literature review

Clinical, humanistic and economic outcomes, including experiencing of patient safety events, associated with admitting patients to single rooms compared with shared accommodation for acute hospital admissions: a systematic review and narrative synthesis

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