Outpatient Rehabilitation Care Process Factors and Clinical Outcomes Among Patients Discharged Home Following Unilateral Total Knee Arthroplasty

Abstract 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...

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Bibliographic Details
Published in:The Journal of arthroplasty 2015-05, Vol.30 (5), p.885-890
Main Authors: Brennan, Gerard P., PT, PhD, Fritz, Julie M., PT, PhD, FAPTA, Houck, L.T.C. Kevin M., PT, DPT, SCS, CSCS, Hunter, Stephen J., PT, DPT
Format: Article
Language:English
Subjects:
Ambulatory Care
Arthroplasty, Replacement, Knee - rehabilitation
care pathway
Female
Humans
Male
Middle Aged
Orthopedics
Outcome and Process Assessment (Health Care)
Patient Discharge
physical therapy
Physical Therapy Modalities
quality improvement
Range of Motion, Articular
rehabilitation
Retrospective Studies
total knee arthroplasty
Treatment Outcome
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Summary:Abstract 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.
ISSN:0883-5403
1532-8406
DOI:10.1016/j.arth.2014.12.013