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Effectiveness of accelerated perioperative care and rehabilitation intervention compared to current intervention after hip and knee arthroplasty. A before-after trial of 247 patients with a 3-month follow-up

Authors
Journal
BMC Musculoskeletal Disorders
1471-2474
Publisher
Springer (Biomed Central Ltd.)
Publication Date
Volume
9
Issue
1
Identifiers
DOI: 10.1186/1471-2474-9-59
Keywords
  • Research Article

Abstract

1471-2474-9-59.fm ral ss BioMed CentBMC Musculoskeletal Disorders Open AcceResearch article Effectiveness of accelerated perioperative care and rehabilitation intervention compared to current intervention after hip and knee arthroplasty. A before-after trial of 247 patients with a 3-month follow-up Kristian Larsen*†1,2, Karen Elisabeth Hvass†3, Torben B Hansen†1,3, Per B Thomsen†3 and Kjeld Søballe†2,4 Address: 1Orthopedic Research Unit, Regional Hospital Holstebro, Denmark, 2University of Aarhus, Denmark, 3Dept. of Orthopedics, Regional Hospital Holstebro, Denmark and 4Dept. of Orthopedics, University Hospital of Aarhus, Denmark Email: Kristian Larsen* - [email protected]; Karen Elisabeth Hvass - [email protected]; Torben B Hansen - [email protected]; Per B Thomsen - [email protected]; Kjeld Søballe - [email protected] * Corresponding author †Equal contributors Abstract Background: In Denmark, approximately 12,000 hip and knee arthroplasties were performed in 2006, and the hospital costs were close to US$ 110,000,000. In a randomized clinical trial, we have recently demonstrated the efficacy of accelerated perioperative care and rehabilitation intervention after hip and knee arthroplasty compared to current intervention under ideal circumstances. We do not, however, know whether these results could be reached under usual circumstances of healthcare practice. We therefore investigated whether length of stay after implementation of accelerated perioperative care and rehabilitation after hip and knee arthroplasty could be reduced in a normal healthcare setting, and how the achieved results matched those observed during the randomized clinical trial. Methods: An effectiveness study as a before-after trial was undertaken in which all elective primary total hip and total knee arthroplasty patients were divided into a before-implementation group receiving the current perioperative procedure, and an after-implementation group receiving the new accelerated perioperative care and re

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