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Short hospital stay augmented with education and home-based rehabilitation improves function and quality of life after hip replacement - Randomized study of 50 patients with 6 months of follow-up

Siggeirsdottir, K; Olafsson, O; Jonsson, H; Iwarsson, Susanne LU ; Gudnason, V and Jonsson, Brynjolfur LU (2005) In Acta Orthopaedica 76(4). p.555-562
Abstract
Background Because of current cost restrictions, we studied the effect of a shorter hospital stay on function, pain and quality of life (QOL) after total hip replacement (THR). Patients and methods 50 patients from two hospitals were randomized into a study group (SG) of 27 patients receiving preoperative and postoperative education programs, as well as home visits from an outpatient team, and a control group (CG) of 23 patients receiving "conventional" rehabilitation often augmented by a stay at a rehabilitation center. Results Mean hospital stay was shorter for the SG than for the CG (6.4 days and 10 days, respectively; p < 0.001). During the 6-month study period, there were 9 non-fatal complications in the SG and 12 in the CG (p =... (More)
Background Because of current cost restrictions, we studied the effect of a shorter hospital stay on function, pain and quality of life (QOL) after total hip replacement (THR). Patients and methods 50 patients from two hospitals were randomized into a study group (SG) of 27 patients receiving preoperative and postoperative education programs, as well as home visits from an outpatient team, and a control group (CG) of 23 patients receiving "conventional" rehabilitation often augmented by a stay at a rehabilitation center. Results Mean hospital stay was shorter for the SG than for the CG (6.4 days and 10 days, respectively; p < 0.001). During the 6-month study period, there were 9 non-fatal complications in the SG and 12 in the CG (p = 0.3). The difference in Oxford Hip Score between the groups was not statistically significant before the operation, but was better for the SG at 2 months (p = 0.03) and this difference remained more or less constant throughout the study. The overall score from the Nottingham Health Profile indicated a better QOL in the SG. Interpretation Our preoperative education program, followed by postoperative home-based rehabilitation, appears to be safer and more effective in improving function and QOL after THR than conventional treatment. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Acta Orthopaedica
volume
76
issue
4
pages
555 - 562
publisher
Taylor & Francis
external identifiers
  • pmid:16195074
  • wos:000231614200017
  • scopus:24144461629
ISSN
1745-3682
DOI
10.1080/17453670510041565
language
English
LU publication?
yes
id
d7a00025-eace-40b9-af7b-4db2cdf2e28d (old id 226480)
date added to LUP
2007-10-05 14:30:41
date last changed
2017-01-01 06:40:34
@article{d7a00025-eace-40b9-af7b-4db2cdf2e28d,
  abstract     = {Background Because of current cost restrictions, we studied the effect of a shorter hospital stay on function, pain and quality of life (QOL) after total hip replacement (THR). Patients and methods 50 patients from two hospitals were randomized into a study group (SG) of 27 patients receiving preoperative and postoperative education programs, as well as home visits from an outpatient team, and a control group (CG) of 23 patients receiving "conventional" rehabilitation often augmented by a stay at a rehabilitation center. Results Mean hospital stay was shorter for the SG than for the CG (6.4 days and 10 days, respectively; p &lt; 0.001). During the 6-month study period, there were 9 non-fatal complications in the SG and 12 in the CG (p = 0.3). The difference in Oxford Hip Score between the groups was not statistically significant before the operation, but was better for the SG at 2 months (p = 0.03) and this difference remained more or less constant throughout the study. The overall score from the Nottingham Health Profile indicated a better QOL in the SG. Interpretation Our preoperative education program, followed by postoperative home-based rehabilitation, appears to be safer and more effective in improving function and QOL after THR than conventional treatment.},
  author       = {Siggeirsdottir, K and Olafsson, O and Jonsson, H and Iwarsson, Susanne and Gudnason, V and Jonsson, Brynjolfur},
  issn         = {1745-3682},
  language     = {eng},
  number       = {4},
  pages        = {555--562},
  publisher    = {Taylor & Francis},
  series       = {Acta Orthopaedica},
  title        = {Short hospital stay augmented with education and home-based rehabilitation improves function and quality of life after hip replacement - Randomized study of 50 patients with 6 months of follow-up},
  url          = {http://dx.doi.org/10.1080/17453670510041565},
  volume       = {76},
  year         = {2005},
}