Effects of a preoperative simplified home rehabilitation education program on length of stay of total knee arthroplasty patients

S. W. Huang, P. H. Chen, Y. H. Chou

Research output: Contribution to journalArticle

31 Citations (Scopus)

Abstract

In patients with severe knee osteoarthritis (OA), total knee arthroplasty (TKA) is performed for both symptom relief and to achieve better function in daily life. Implementation of efficient TKA rehabilitation programs with shorter length of stay (LOS) and reduced medical expenditures is an important issue in clinical practice. However, the effectiveness of preoperative rehabilitation programs is still under debate. Most preoperative rehabilitation programs last many weeks and may be more expensive than TKA. The purpose of this study was to investigate the effects of a simplified, easy-to-learn, and less time-consuming preoperative rehabilitation education program on TKA patients. Patients and methods: In this randomized controlled study, we allocated all the patients into study and control group according to chart number. The study group, which comprised 126 patients, participated in a 40-min preoperative home rehabilitation education program 4. weeks prior to TKA. One hundred seventeen patients in the control group did not participate in this preoperative program. Results: The study group required a shorter hospital LOS (mean: 7.12. days; P= 0.027) and had less hospitalization-related medical expenditures (mean: 123726 New Taiwan dollars [NTD], equivalent to 4266.4 United States dollars [USD] or 3022.1 [Euros]), (P= 0.001) than the control group. However, the study group showed no significant improvement in function when compared to the control group. Discussion: Our study demonstrates that a simplified preoperative rehabilitation program can reduce LOS and increase cost savings. This program was recommended as a routine protocol for OA patients before admission for TKA. Level of evidence: Level II. Prospective randomized study.

Original languageEnglish
Pages (from-to)259-264
Number of pages6
JournalOrthopaedics and Traumatology: Surgery and Research
Volume98
Issue number3
DOIs
Publication statusPublished - May 2012
Externally publishedYes

Fingerprint

Knee Replacement Arthroplasties
Length of Stay
Rehabilitation
Education
Control Groups
Knee Osteoarthritis
Health Expenditures
Cost Savings
Patient Admission
Taiwan
Osteoarthritis
Hospitalization
Prospective Studies

Keywords

  • Home rehabilitation
  • Inpatient
  • Knee osteoarthritis
  • Preoperative rehabilitation
  • Total knee arthroplasty

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

Cite this

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abstract = "In patients with severe knee osteoarthritis (OA), total knee arthroplasty (TKA) is performed for both symptom relief and to achieve better function in daily life. Implementation of efficient TKA rehabilitation programs with shorter length of stay (LOS) and reduced medical expenditures is an important issue in clinical practice. However, the effectiveness of preoperative rehabilitation programs is still under debate. Most preoperative rehabilitation programs last many weeks and may be more expensive than TKA. The purpose of this study was to investigate the effects of a simplified, easy-to-learn, and less time-consuming preoperative rehabilitation education program on TKA patients. Patients and methods: In this randomized controlled study, we allocated all the patients into study and control group according to chart number. The study group, which comprised 126 patients, participated in a 40-min preoperative home rehabilitation education program 4. weeks prior to TKA. One hundred seventeen patients in the control group did not participate in this preoperative program. Results: The study group required a shorter hospital LOS (mean: 7.12. days; P= 0.027) and had less hospitalization-related medical expenditures (mean: 123726 New Taiwan dollars [NTD], equivalent to 4266.4 United States dollars [USD] or 3022.1 [Euros]), (P= 0.001) than the control group. However, the study group showed no significant improvement in function when compared to the control group. Discussion: Our study demonstrates that a simplified preoperative rehabilitation program can reduce LOS and increase cost savings. This program was recommended as a routine protocol for OA patients before admission for TKA. Level of evidence: Level II. Prospective randomized study.",
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N2 - In patients with severe knee osteoarthritis (OA), total knee arthroplasty (TKA) is performed for both symptom relief and to achieve better function in daily life. Implementation of efficient TKA rehabilitation programs with shorter length of stay (LOS) and reduced medical expenditures is an important issue in clinical practice. However, the effectiveness of preoperative rehabilitation programs is still under debate. Most preoperative rehabilitation programs last many weeks and may be more expensive than TKA. The purpose of this study was to investigate the effects of a simplified, easy-to-learn, and less time-consuming preoperative rehabilitation education program on TKA patients. Patients and methods: In this randomized controlled study, we allocated all the patients into study and control group according to chart number. The study group, which comprised 126 patients, participated in a 40-min preoperative home rehabilitation education program 4. weeks prior to TKA. One hundred seventeen patients in the control group did not participate in this preoperative program. Results: The study group required a shorter hospital LOS (mean: 7.12. days; P= 0.027) and had less hospitalization-related medical expenditures (mean: 123726 New Taiwan dollars [NTD], equivalent to 4266.4 United States dollars [USD] or 3022.1 [Euros]), (P= 0.001) than the control group. However, the study group showed no significant improvement in function when compared to the control group. Discussion: Our study demonstrates that a simplified preoperative rehabilitation program can reduce LOS and increase cost savings. This program was recommended as a routine protocol for OA patients before admission for TKA. Level of evidence: Level II. Prospective randomized study.

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