What Augmented Physical Activity and Empowerment Can Bring to Patients Receiving Total Knee Replacement: Content, Implementation, and Comparative Effectiveness of a New Function-Tailored Care Pathway in a Routine Care Setting
Joint Authors
Hoogeboom, Thomas J.
van Meeteren, Nico L. U.
van der Sluis, G.
Goldbohm, R. A.
Bimmel, R.
Galindo Garre, F.
Elings, J.
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-04-16
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Background.
In the routine setting of the 20-bed orthopaedic ward of a regional hospital in Netherlands, we developed, implemented, and evaluated a new, function-tailored perioperative care pathway for patients receiving total knee replacement (TKR), aimed at faster functional recovery by reduction of inactivity and stimulation of self-efficacy of the patients.
Methods.
To assess effectiveness, we compared, using prospectively collected data from medical files, patient groups before n = 127 and after n = 108 introduction of the new care pathway with respect to time to recovery of physical functioning during hospitalisation (five milestones), length of hospital stay (LoS), referrals to an inpatient rehabilitation facility, and readmissions.
Multivariable regression was used to adjust results for differences between the two groups in preoperatively assessed risk factors for delayed recovery.
Results.
Comparison of patient groups before n = 127 and after n = 108 introduction of the tailored care pathway showed that the tailored rehabilitation pathway decreased the time to recovery of physical functioning (from 4.5 to 4.1 days, P < 0.05 ), the mean LoS (from 5.2 days to 4.2 days, P < 0.01 ).
Conclusion.
We demonstrated that the introduction of a function-tailored care pathway shortens the hospital stay and accelerates the recovery of physical functioning.
American Psychological Association (APA)
van der Sluis, G.& Goldbohm, R. A.& Bimmel, R.& Galindo Garre, F.& Elings, J.& Hoogeboom, Thomas J.…[et al.]. 2015. What Augmented Physical Activity and Empowerment Can Bring to Patients Receiving Total Knee Replacement: Content, Implementation, and Comparative Effectiveness of a New Function-Tailored Care Pathway in a Routine Care Setting. BioMed Research International،Vol. 2015, no. 2015, pp.1-8.
https://search.emarefa.net/detail/BIM-1056594
Modern Language Association (MLA)
van der Sluis, G.…[et al.]. What Augmented Physical Activity and Empowerment Can Bring to Patients Receiving Total Knee Replacement: Content, Implementation, and Comparative Effectiveness of a New Function-Tailored Care Pathway in a Routine Care Setting. BioMed Research International No. 2015 (2015), pp.1-8.
https://search.emarefa.net/detail/BIM-1056594
American Medical Association (AMA)
van der Sluis, G.& Goldbohm, R. A.& Bimmel, R.& Galindo Garre, F.& Elings, J.& Hoogeboom, Thomas J.…[et al.]. What Augmented Physical Activity and Empowerment Can Bring to Patients Receiving Total Knee Replacement: Content, Implementation, and Comparative Effectiveness of a New Function-Tailored Care Pathway in a Routine Care Setting. BioMed Research International. 2015. Vol. 2015, no. 2015, pp.1-8.
https://search.emarefa.net/detail/BIM-1056594
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1056594