Outpatient Rehabilitation Care Process Factors and Clinical Outcomes Among Patients Discharged Home Following Unilateral Total Knee Arthroplasty
Outpatient Rehabilitation Care Process Factors and Clinical Outcomes Among Patients Discharged Home Following Unilateral Total Knee Arthroplasty
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DOI：
10.1016/j.arth.2014.12.013
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发表时间：
2015-05-01
影响因子：
3.5
通讯作者：
Hunter, Stephen J.
中科院分区：
文献类型：
--
作者：
Brennan, Gerard P.;Fritz, Julie M.;Hunter, Stephen J.
全膝关节置换术后的护理过程变量及其与临床结局的关系的研究主要集中在住院变量上。与门诊康复相关的护理过程因素尚未得到充分研究。我们对321例患者进行了回顾性分析，评估门诊护理过程变量，包括使用持续被动运动，家庭健康物理治疗，从住院出院到开始门诊物理治疗的天数，以及门诊物理治疗的各个方面（就诊次数，住院时间）作为门诊物理治疗的疼痛和残疾结局的可能预测因素。只有住院患者出院和门诊物理治疗之间的天数可以预测更好的结局，这表明这可能是改善全膝关节置换术后直接出院回家的患者结局的目标。(C)2014年爱思唯尔公司All rights reserved.
Research examining care process variables and their relationship to clinical outcomes after total knee arthroplasty has focused primarily on inpatient variables. Care process factors related to outpatient rehabilitation have not been adequately examined. We conducted a retrospective review of 321 patients evaluating outpatient care process variables including use of continuous passive motion, home health physical therapy, number of days from inpatient discharge to beginning outpatient physical therapy, and aspects of outpatient physical therapy (number of visits, length of stay) as possible predictors of pain and disability outcomes of outpatient physical therapy. Only the number of days between inpatient discharge and outpatient physical therapy predicted better outcomes, suggesting that this may be a target for improving outcomes after total knee arthroplasty for patients discharged directly home. (C) 2014 Elsevier Inc. All rights reserved.