Preoperative grip strength measurement and duration of hospital stay in patients undergoing total hip and knee arthroplasty
| Autor: | Ashutosh Kumar Sinha, Avijit Barai, N. Vasukutty, Pradeep Kumar, A. J. Shyam Kumar, S. Yasin, N. Beresford-Cleary |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Arthroplasty Replacement Hip medicine.medical_treatment Total hip replacement Muscle Strength Dynamometer Sensitivity and Specificity Cohort Studies Grip strength Predictive Value of Tests Hand strength Preoperative Care Humans Medicine Orthopedics and Sports Medicine In patient Prospective Studies Arthroplasty Replacement Knee Aged Aged 80 and over Hand Strength business.industry Pinch grip Length of Stay Middle Aged Arthroplasty Surgery body regions Treatment Outcome Duration (music) Physical therapy Female business Hospital stay Follow-Up Studies |
| Zdroj: | European Journal of Orthopaedic Surgery & Traumatology. 23:553-556 |
| ISSN: | 1432-1068 1633-8065 |
| DOI: | 10.1007/s00590-012-1029-5 |
| Popis: | This study explored whether a relationship exists between preoperative pinch and power grip strength, and length of hospital stay in patients undergoing hip and knee arthroplasty at a busy UK hospital. We investigated whether handgrip dynamometry could be used preoperatively to identify patients at greater risk of longer inpatient stays. This would allow focussed intervention preoperatively and facilitate predictors of length of stay postoperatively. One hundred and sixty-four patients (64 male, 100 female) undergoing lower limb arthroplasty (83 total knee replacement, 81 total hip replacement) were assessed in pre-admission clinic. Average measurements of pinch grip, power grip and grip endurance were taken from each patient using the Jamar hydraulic dynamometer (Jamar, USA). Duration of inpatient stay of each patient was recorded. Average duration of hospital stay was 9.4 days. Both average pinch grip strength and average power grip strength had a significant negative correlation with duration of inpatient stay. Those patients with a pinch grip strength less than 6.3 kg remained an inpatient for an average of 2 days longer than those with a pinch grip greater than 6.3 kg. This simple test may be highly beneficial preoperatively in identifying those patients likely to require longer inpatient stays and therefore those who would benefit from early nutritional intervention and focussed physiotherapy. It may also facilitate predictors of length of stay postoperatively. We believe this may effect significant cost reductions in the NHS. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink