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Immediate Physical Therapy following Total Joint Arthroplasty: Barriers and Impact on Short-Term Outcomes

التفاصيل البيبلوغرافية
العنوان: Immediate Physical Therapy following Total Joint Arthroplasty: Barriers and Impact on Short-Term Outcomes
المؤلفون: Hunter Warwick, Andrew George, Claire Howell, Cynthia Green, Thorsten M. Seyler, William A. Jiranek
المصدر: Advances in Orthopedics, Vol 2019 (2019)
بيانات النشر: Hindawi Limited, 2019.
سنة النشر: 2019
المجموعة: LCC:Orthopedic surgery
مصطلحات موضوعية: Orthopedic surgery, RD701-811
الوصف: Background. Recent evidence suggests benefit to receiving physical therapy (PT) the same day as total joint arthroplasty (TJA), but relatively little is known about barriers to providing PT in this constrained time period. We address the following questions: (1) Are there demographic or perioperative variables associated with receiving delayed PT following TJA? (2) Does receiving immediate PT following TJA affect short-term outcomes such as length of stay, discharge disposition, or 30-day readmission? Methods. Primary TJA procedures at a single center were retrospectively reviewed. Immediate PT was defined as within eight hours of surgery. Demographic and perioperative variables were compared between patients who received immediate PT and those who did not. We identified an appropriately matched control group of patients who received immediate PT. Postoperative length of stay, discharge disposition, and 30-day readmissions were compared between matched groups. Results. In total, 2051 primary TJA procedures were reviewed. Of these, 226 (11.0%) received delayed PT. These patients had a higher rate of general anesthesia (25.2% versus 17.8%, p=0.006), later operative start time (13:26 [11:31-14:38] versus 9:36 [8:24-11:16], p
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2090-3464
2090-3472
العلاقة: https://doaj.org/toc/2090-3464Test; https://doaj.org/toc/2090-3472Test
DOI: 10.1155/2019/6051476
الوصول الحر: https://doaj.org/article/06d9a1eff7c8440f8db86f6b8f08273dTest
رقم الانضمام: edsdoj.06d9a1eff7c8440f8db86f6b8f08273d
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:20903464
20903472
DOI:10.1155/2019/6051476