Does Psychological Health Influence Hospital Length of Stay Following Total Knee Arthroplasty? A Systematic Review
| Autor: | Marie K. March, Sarah Dennis, Alison R. Harmer |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Health Status medicine.medical_treatment Physical Therapy Sports Therapy and Rehabilitation Cohort Studies 03 medical and health sciences 0302 clinical medicine Humans Medicine 030212 general & internal medicine Arthroplasty Replacement Knee Aged Aged 80 and over Hip surgery 030222 orthopedics Rehabilitation business.industry Length of Stay Middle Aged medicine.disease Mental health Arthroplasty Checklist Substance abuse Mental Health Preoperative Period Orthopedic surgery Physical therapy Female business Cohort study |
| Zdroj: | Archives of Physical Medicine and Rehabilitation. 99:2583-2594 |
| ISSN: | 0003-9993 |
| Popis: | To systematically review the literature to determine if preoperative psychological health affected hospital length of stay among adults following primary unilateral total knee arthroplasty.Systematic review. We searched 6 online databases for original research published before December 31, 2016, that investigated adults undergoing primary unilateral total knee arthroplasty.We included studies that used any measure of preoperative psychological health and reported length of stay, irrespective of study design. We excluded studies that considered participants with cognitive impairment or substance abuse; studies that considered participants who experienced revision, bilateral or hip surgery; and studies that did not have full text available in English.One review author screened 438 titles and abstracts for inclusion. Another author reviewed a 10% sample of excluded studies for adherence to the review protocol, with no violations observed. For all included studies, 2 authors independently extracted data from each study using a form designed a priori and independently assessed study quality according to the Joanna Briggs Checklist for Cohort Studies.In view of the heterogeneity of the included studies, we present a narrative synthesis . Of the 7 included studies, 5 reported statistically significant increases in hospital length of stay among those with worse preoperative psychological health. These differences were often1 calendar day, and, therefore, the clinical significance of these results remains unknown, but the potential to reduce health care costs may still be significant.Adults experiencing worse preoperative psychological health before total knee arthroplasty may have a longer hospital stay compared to those with unremarkable psychological health. |
| Databáze: | OpenAIRE |
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