Same-day discharge after early mobilisation and increased frequency of physiotherapy following hip and knee arthroplasty
| Autor: | Retha-Mari Prinsloo, Monique Marie Keller |
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| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | South African Journal of Physiotherapy. 78 |
| ISSN: | 2410-8219 0379-6175 |
| DOI: | 10.4102/sajp.v78i1.1755 |
| Popis: | Advanced rehabilitation pathway (ARP) after hip and knee arthroplasties is popular globally and is gaining ground in South Africa (SA). A multidisciplinary team in Rustenburg, SA, has implemented an ARP with the first same-day discharge (SDD) from hospital. The lack of evidence of physiotherapy protocols within an ARP determined our study.Determine and compare hospital length of stay (LOS) (hours), patient satisfaction (Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)), patient safety (30-day re-admission) and cost between the two cohorts.A quantitative prospective patient (treatment) group receiving early mobilisation with increased frequency of physiotherapy on post-operative day zero (POD0) was compared to a conservatively managed retrospective historical (control) group following post-operative elective hip and knee arthroplasties.Results for the prospective group which were significantly improved relative to the retrospective group included decreased LOS (median 7.650,Safe and cost-effective SDD is possible in an ARP with earlier mobilisation and increased frequency of physiotherapy on POD0.Achieving safe SDD after hip and knee arthroplasty surgeries saved costs and improved patient satisfaction, with a decrease in LOS being beneficial for medical funders and stakeholders including government aiming to implement National Health Insurance (NHI) in the future. |
| Databáze: | OpenAIRE |
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