Determinants and outcomes of inpatient versus home based rehabilitation following elective hip and knee replacement
- PMID: 10914863
Determinants and outcomes of inpatient versus home based rehabilitation following elective hip and knee replacement
Abstract
Objective: There are large variations in practice patterns and costs of rehabilitation following total joint replacement (TJR). We evaluated the determinants of rehabilitation setting (home based vs inpatient) after TJR, and its influence on early functional outcomes.
Methods: We studied a retrospective cohort of 146 primary total hip and knee replacements. Ninety-six patients completed a mailed survey consisting of the Western Ontario and McMaster University Osteoarthritis Index (WOMAC), the Medical Outcomes Survey Short Form-36 (SF-36), and a satisfaction questionnaire.
Results: The mean age of the cohort was 66 years, 70% were women, and osteoarthritis was the primary diagnosis in 79%. Thirty-nine percent received home based rehabilitation. Determinants of home based rehabilitation included preference for home based rehabilitation, male sex, and knowledge regarding TJR. At a mean followup of 8 months post TJR, there were no significant differences between the inpatient and home based rehabilitation groups with respect to the WOMAC, SF-36, and satisfaction scores. CONCLUSION. These results support continued use of home based rehabilitation.
Similar articles
-
Group physiotherapy provides similar outcomes for participants after joint replacement surgery as 1-to-1 physiotherapy: a sequential cohort study.Arch Phys Med Rehabil. 2009 Oct;90(10):1727-33. doi: 10.1016/j.apmr.2009.04.019. Arch Phys Med Rehabil. 2009. PMID: 19801063 Clinical Trial.
-
Health related quality of life outcomes after total hip and knee arthroplasties in a community based population.J Rheumatol. 2000 Jul;27(7):1745-52. J Rheumatol. 2000. PMID: 10914862
-
Inpatient compared with home-based rehabilitation following primary unilateral total hip or knee replacement: a randomized controlled trial.J Bone Joint Surg Am. 2008 Aug;90(8):1673-80. doi: 10.2106/JBJS.G.01108. J Bone Joint Surg Am. 2008. PMID: 18676897 Clinical Trial.
-
Assessment of Outcomes of Inpatient or Clinic-Based vs Home-Based Rehabilitation After Total Knee Arthroplasty: A Systematic Review and Meta-analysis.JAMA Netw Open. 2019 Apr 5;2(4):e192810. doi: 10.1001/jamanetworkopen.2019.2810. JAMA Netw Open. 2019. PMID: 31026026 Free PMC article.
-
Expert consensus on best practices for post-acute rehabilitation after total hip and knee arthroplasty: a Canada and United States Delphi study.Arthritis Care Res (Hoboken). 2014 Mar;66(3):411-23. doi: 10.1002/acr.22164. Arthritis Care Res (Hoboken). 2014. PMID: 24023047
Cited by
-
Physiotherapy rehabilitation after total knee or hip replacement: an evidence-based analysis.Ont Health Technol Assess Ser. 2005;5(8):1-91. Epub 2005 Jun 1. Ont Health Technol Assess Ser. 2005. PMID: 23074477 Free PMC article.
-
Quality of life after TKA for patients with juvenile rheumatoid arthritis.Clin Orthop Relat Res. 2008 Jan;466(1):167-78. doi: 10.1007/s11999-007-0010-9. Epub 2008 Jan 3. Clin Orthop Relat Res. 2008. PMID: 18196390 Free PMC article.
-
Disparities in post-acute rehabilitation care for joint replacement.Arthritis Care Res (Hoboken). 2011 Jul;63(7):1020-30. doi: 10.1002/acr.20477. Arthritis Care Res (Hoboken). 2011. PMID: 21485020 Free PMC article.
-
Crafting the Future of Community-Based Medical Rehabilitation: Exploring Optimal Models for Non-Inpatient Rehabilitation Services through a Narrative Review.Int J Environ Res Public Health. 2024 Oct 8;21(10):1332. doi: 10.3390/ijerph21101332. Int J Environ Res Public Health. 2024. PMID: 39457305 Free PMC article. Review.
-
Comparison of effects of supervised physiotherapy and a standardized home program on functional status in patients with total knee arthroplasty: a prospective study.J Phys Ther Sci. 2014 Oct;26(10):1531-6. doi: 10.1589/jpts.26.1531. Epub 2014 Oct 28. J Phys Ther Sci. 2014. PMID: 25364104 Free PMC article.