Literature DB >> 22386604

Effect of immediate postoperative physical therapy on length of stay for total joint arthroplasty patients.

Antonia F Chen1, Melissa K Stewart, Alma E Heyl, Brian A Klatt.   

Abstract

The isolated effect of physical therapy (PT) on total joint arthroplasty hospital length of stay (LOS) has not been studied. A prospective cohort study was conducted on 136 primary total joint arthroplasties (58 hips, 78 knees). The LOS was determined by the operative start time until the time of discharge. On postoperative day (POD) 0, 60 joints remained in bed, 51 moved to a chair, and 25 received PT (22 ambulated, 3 moved to a chair). Length of stay differed for patients receiving PT on POD 0 (2.8 ± 0.8 days) compared with POD 1 (3.7 ± 1.8 days) (P = .02). There was no difference in PT treatment based on nausea/vomiting, pain levels, or discharge location. Isolated PT intervention on POD 0 shortened hospital LOS, regardless of the intervention performed.
Copyright © 2012 Elsevier Inc. All rights reserved.

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Year:  2012        PMID: 22386604     DOI: 10.1016/j.arth.2012.01.011

Source DB:  PubMed          Journal:  J Arthroplasty        ISSN: 0883-5403            Impact factor:   4.757


  16 in total

1.  Clinical relevance of active straight leg raising, standing up, and walking after total knee arthroplasty in a cross-sectional study.

Authors:  Yoshinori Ishii; Hideo Noguchi; Junko Sato; Hana Ishii; Takeshi Yamamoto; Tetsuya Sakurai; Shin-Ichi Toyabe
Journal:  Eur J Orthop Surg Traumatol       Date:  2017-12-05

2.  Predictors of farther mobilization on day of surgery and shorter length of stay after total joint arthroplasty.

Authors:  Sylvia Gautreau; Regan Haley; Odette N Gould; Donaldo D Canales; Tara Mann; Michael E Forsythe
Journal:  Can J Surg       Date:  2020 Nov-Dec       Impact factor: 2.089

3.  Patients' perceptions of joint replacement care in a changing healthcare system: a qualitative study.

Authors:  Fiona Webster; Samantha Bremner; Joel Katz; Judy Watt-Watson; Deborah Kennedy; Mona Sawhney; Colin McCartney
Journal:  Healthc Policy       Date:  2014-02

4.  Effects of knee extension exercise starting within 4 h after total knee arthroplasty.

Authors:  Masafumi Kubota; Yasuo Kokubo; Tsuyoshi Miyazaki; Hideaki Matsuo; Hiroaki Naruse; Kazuki Shouji; Seiichiro Shimada; Akihiko Matsumine
Journal:  Eur J Orthop Surg Traumatol       Date:  2021-06-17

5.  The number of stairs into home do not impact discharge disposition and patient reported outcomes after total joint arthroplasty.

Authors:  Vivek Singh; Alex Tang; Vinay K Aggarwal; Ran Schwarzkopf; Joshua C Rozell
Journal:  Arch Orthop Trauma Surg       Date:  2021-03-01       Impact factor: 2.928

Review 6.  Timing of rehabilitation on length of stay and cost in patients with hip or knee joint arthroplasty: A systematic review with meta-analysis.

Authors:  Michael Masaracchio; William J Hanney; Xinliang Liu; Morey Kolber; Kaitlin Kirker
Journal:  PLoS One       Date:  2017-06-02       Impact factor: 3.240

7.  Improving value in primary total joint arthroplasty care pathways: changes in inpatient physical therapy staffing.

Authors:  Christopher E Pelt; Mike B Anderson; Robert Pendleton; Matthew Foulks; Christopher L Peters; Jeremy M Gililland
Journal:  Arthroplast Today       Date:  2016-04-08

8.  Early mobilisation after total hip or knee arthroplasty: A multicentre prospective observational study.

Authors:  Matthew J Chua; Andrew J Hart; Rajat Mittal; Ian A Harris; Wei Xuan; Justine M Naylor
Journal:  PLoS One       Date:  2017-06-27       Impact factor: 3.240

9.  Telerehabilitation Versus Traditional Care Following Total Hip Replacement: A Randomized Controlled Trial Protocol.

Authors:  Mark Nelson; Michael Bourke; Kay Crossley; Trevor Russell
Journal:  JMIR Res Protoc       Date:  2017-03-02

10.  At discharge gait speed and independence of patients provides a challenges for rehabilitation after total joint arthroplasty: an observational study.

Authors:  Mattia Morri; Emanuela Natali; Daniele Tosarelli
Journal:  Arch Physiother       Date:  2016-06-29
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