Effect of Immediate Postoperative Physical Therapy on Length of Stay for Total Joint Arthroplasty Patients

被引：48
|
作者：
Chen, Antonia F. [1 ]
Stewart, Melissa K. [2 ]
Heyl, Alma E. [1 ]
Klatt, Brian A. [1 ]
机构：
[1] Univ Pittsburgh, Med Ctr, Dept Orthopaed Surg, Pittsburgh, PA 15232 USA
[2] Univ Pittsburgh, Sch Med, Pittsburgh, PA 15232 USA
来源：
JOURNAL OF ARTHROPLASTY | 2012年 / 27卷 / 06期
关键词：
physical therapy; day of surgery; total joint arthroplasty; length of stay; rehabilitation; ACCELERATED PERIOPERATIVE CARE; KNEE ARTHROPLASTY; REHABILITATION INTERVENTION; FOLLOW-UP; TOTAL HIP; REPLACEMENT; TRIAL;
D O I：
10.1016/j.arth.2012.01.011
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
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.
引用
收藏
页码：851 / 856
页数：6
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