Targeted postoperative care improves discharge outcome after hip or knee arthroplasty1,211No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit on the author(s) or on any organization with which the author(s) is/are associated.22Reprints are not available from the authors
| Autor: | Barry Elliott, Helen McBurney, Valma J Robertson, Leonie B. Oldmeadow, Lara A Kimmel |
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| Rok vydání: | 2004 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Rehabilitation Physical Therapy Sports Therapy and Rehabilitation Traumatology Retrospective cohort study Arthroplasty Surgery Acute care Orthopedic surgery medicine Physical therapy Risk factor business Prospective cohort study Cohort study |
| Zdroj: | Archives of Physical Medicine and Rehabilitation. 85:1424-1427 |
| ISSN: | 0003-9993 |
| Popis: | Oldmeadow LB, McBurney H, Robertson VJ, Kimmel L, Elliott B. Targeted postoperative care improves discharge outcome after hip or knee arthroplasty. Arch Phys Med Rehabil 2004;85:1424–7. Objective To determine whether targeted postoperative care, based on preoperative risk assessment, can increase the number of patients who are discharged home directly from acute care after elective hip or knee arthroplasty. Design Quasiexperimental with historical control. Setting A public university teaching hospital. Participants One hundred patients who had an elective hip or knee arthroplasty. Interventions Between January and July 2001, 50 patients had their risk of discharge to extended inpatient rehabilitation assessed preoperatively with a newly developed Risk Assessment and Prediction Tool (RAPT). Postoperative management was targeted on the basis of the identified level of risk. Results were compared with those of a similar group of 50 patients treated between January and July 2000. Main Outcome Measures Discharge destination, length of stay (LOS), and readmission rates. Results The percentage of patients discharged directly home increased significantly, from 34% during 2000 to 64% in 2001 (P=.002), with no increase in readmission rates in the 12 months postdischarge. In addition, the mean acute hospital LOS decreased by 1.1 days to 7.5 days in 2001 (P=.02). Conclusions Use of the RAPT and targeted postoperative care resulted in more patients being discharged directly home after hip or knee arthroplasty while hospital LOS further decreased. |
| Databáze: | OpenAIRE |
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