Impact of a new post‐operative care model in a rural hospital after total hip replacement and total knee replacement.

Autor: Joo, Baeho, Marquez, Jodie, Model, Gemma, Fan, Bo, Osmotherly, Peter G.
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Zdroj: Australian Journal of Rural Health; Feb2022, Vol. 30 Issue 1, p115-122, 8p, 1 Diagram, 5 Charts
Abstrakt: Problem: The predicted global trend of increasing total hip replacement and total knee replacement numbers leads to a direct and growing impact on health care services. Models of care including 'fast‐track' mobilisation after total hip replacement and total knee replacement have been reported to reduce length of stay. This has not been verified in rural settings. Setting: Armidale Rural Referral Hospital. Key measures for improvement: The new post‐operative care included early discharge planning with or without Day 0 mobilisation with aims to decrease hospital length of stay without affecting complication rates, compared to the conventional model of care. Strategies for change: Consistent communication and planning for early discharge occurred before and throughout admission and Day 0 mobilisation. Effects of change: There was a statistically significantly less median length of stay following implementation of the new post‐operative care model (3.24 vs 2.29 days [P <.01]). There was no statistically significant difference in complications or readmissions following the change. Those who were allocated to mobilise on Day 0 had a lesser median length of stay than those who did not (2.40 vs 2.27 days, P =.03). Lessons learnt: Our results indicate that the new post‐operative care model is safe and feasible for total knee replacement or total hip replacement patients in a rural setting and might reduce length of stay without compromising clinical outcomes. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index
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