Pre-arthroplasty rehabilitation is effective in reducing hospital stay

Can J Occup Ther. 2003 Apr;70(2):88-96. doi: 10.1177/000841740307000204.

Abstract

Background: The purpose of the trial was to evaluate the effect on length of stay of individually tailored rehabilitation for clients who were undergoing hip or knee arthroplasty.

Method: Clients (n = 133) with complex needs (comorbid conditions or limited social support) were randomly assigned to receive preoperative usual care (UC) or rehabilitation (R). Usual care clients received a single preoperative clinic visit. Rehabilitation clients were individually assessed and received multi disciplinary rehabilitation to optimize functional capacity, education about the in-hospital phase and early discharge planning. All rehabilitation subjects received interdisciplinary counseling/education focused on preparation for discharge home. The intervention for approximately half the rehabilitation clients was a single, cost-effective session, while others received physical conditioning.

Results: Clients receiving rehabilitation achieved discharge criteria earlier (R = 5.4, UC = 8 days) and had a shorter actual length of stay (R = 6.5, UC = 10.5 days).

Clinical implications: This preoperative, individually tailored, rehabilitation program reduced length of stay.

Publication types

  • Clinical Trial
  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • Anxiety / diagnosis
  • Arthritis, Rheumatoid / surgery
  • Arthroplasty, Replacement, Hip / psychology
  • Arthroplasty, Replacement, Hip / rehabilitation*
  • Arthroplasty, Replacement, Knee / psychology
  • Arthroplasty, Replacement, Knee / rehabilitation*
  • Chi-Square Distribution
  • Data Interpretation, Statistical
  • Female
  • Humans
  • Length of Stay*
  • Male
  • Middle Aged
  • Osteoarthritis / surgery
  • Preoperative Care*
  • Risk Factors
  • Surveys and Questionnaires
  • Time Factors
  • Treatment Outcome