Pre-operative patient education reduces length of stay after knee joint arthroplasty
Samantha Jones,M. Alnaib,Michail Kokkinakis,Michael Wilkinson,Alan St Clair Gibson,Deiary F. Kader +5 more
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The results suggest that pre-operative education is a safe and effective method of reducing length of stay for knee arthroplasty patients.Abstract:
INTRODUCTIONThe aim of this study was to evaluate the impact of a pre-operative education programme on length of hospital stay after surgery for primary and revision knee arthroplasty patients. The programme was introduced at our hospital in October 2006 to encourage patients to play an active role in their recovery process after surgery. PATIENTS AND METHODSA multidisciplinary team educated knee arthroplasty patients about their care pathway, knee surgery, pain management, expected discharge goals, in-patient and out-patient arthroplasty rehabilitation. Prospective data were collected from 472 consecutive patients who underwent (primary or revision) knee arthroplasty in the period between January 2006 and November 2007. Patients were separated into two groups, one that received conventional pre-operative treatment (n = 150; Conventional group) and another that received the pre-operative education (n = 322; Education group). Length of hospital stay was compare using the Mann Whitney U test. In-patient com...read more
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Reduced short-term complications and mortality following Enhanced Recovery primary hip and knee arthroplasty: results from 6,000 consecutive procedures
Sameer K. Khan,Ajay Malviya,S. D. Muller,I Carluke,P Partington,Kevin P Emmerson,Mike R. Reed +6 more
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What Are the Rates and Causes of Hospital Readmission After Total Knee Arthroplasty
TL;DR: Patients having revision TKA, whether for infection or other causes, are more likely to have an unplanned readmission to the hospital than are patients having primary TKA.
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Preoperative Evaluation Clinic Visit Is Associated with Decreased Risk of In-hospital Postoperative Mortality.
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Hospital Length of Stay following Primary Total Knee Arthroplasty: Data from the Nationwide Inpatient Sample Database
TL;DR: The most significant predictors of increased hospital LOS were age ≥ 80 years, Hispanic race, Medicaid payer status, lower median household income, weekend admission, rural non-teaching hospital, discharge to another facility and any complication.
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Preoperative Education for Hip and Knee Replacement: Never Stop Learning
TL;DR: Convincing evidence is reported that preoperative education classes are an essential element to successful participation in alternative payment models such as the Bundle Payment Care Initiative.
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