Utilization of Rehabilitation Services and Rehabilitation-Related Patient Satisfaction Following Total Knee Arthroplasty-Results of the Prospective FInGK Study.

Autor:	Oltmanns J; Department of Health Services Research, Carl-von-Ossietzky University Oldenburg, 26129 Oldenburg, Germany.; University Hospital for Neurosurgery Evangelisches Krankenhaus Oldenburg, 26122 Oldenburg, Germany., Jacobs H; Department of Health Services Research, Carl-von-Ossietzky University Oldenburg, 26129 Oldenburg, Germany., Maus U; Department of Orthopedic & Trauma Surgery, University Hospital of Düsseldorf, 40225 Düsseldorf, Germany., Ettinger M; Division of Orthopedics at Campus Pius-Hospital, School of Medicine and Health Sciences, Carl von Ossietzky Universität Oldenburg, 26121 Oldenburg, Germany., Hoffmann F; Department of Health Services Research, Carl-von-Ossietzky University Oldenburg, 26129 Oldenburg, Germany., Seeber GH; Division of Orthopedics at Campus Pius-Hospital, School of Medicine and Health Sciences, Carl von Ossietzky Universität Oldenburg, 26121 Oldenburg, Germany.; Department of Orthopedics, University Medical Center Groningen, University of Groningen, 9713 GZ Groningen, The Netherlands.
Jazyk:	angličtina
Zdroj:	Healthcare (Basel, Switzerland) [Healthcare (Basel)] 2024 Oct 22; Vol. 12 (21). Date of Electronic Publication: 2024 Oct 22.
DOI:	10.3390/healthcare12212099
Abstrakt:	(1) Background: This study aims to examine rehabilitation service utilization among total knee arthroplasty (TKA) subjects and the influencing factors associated with rehabilitation-related satisfaction. (2) Methods: The FInGK study was a single-center prospective cohort study. Patients (≥18 years) undergoing primary or revision TKA in a German university hospital were consecutively recruited between December 2019-May 2021. The subjects filled in a questionnaire one day before surgery (t0) and at two (t1) and 12 (t2) months postoperatively. Multivariable logistic regression was conducted to determine the variables associated with the subjects' rehabilitation-related satisfaction. (3) Results: A total of 236 out of 241 (97.9%) subjects participated in t1 (59.3% female; mean age: 68.2 years). Overall, 94.7% underwent post-TKA rehabilitation measures, with inpatient rehabilitation being the predominant choice (85.4%). In total, 77.6% of those with rehabilitation were satisfied or very satisfied with their rehabilitation in general. Multivariable logistic regression showed that female sex (OR 3.42; CI 1.73-6.75) and satisfaction with the surgery in general after two months (OR 4.50; CI 1.96-10.33) were associated with the subjects' rehabilitation-related satisfaction. (4) Conclusions: We found a high utilization of rehabilitation services following TKA and a high rehabilitation-related satisfaction. In international comparison, the utilization of inpatient rehabilitation services was very high. Future research should investigate the effective components for rehabilitation-related satisfaction in both in- and outpatient TKA rehabilitation.
Databáze:	MEDLINE
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