- Title
- Impact of a new post-operative care model in a rural hospital after total hip replacement and total knee replacement
- Creator
- Joo, Baeho; Marquez, Jodie; Model, Gemma; Fan, Bo; Osmotherly, Peter G.
- Relation
- Australian Journal of Rural Health Vol. 30, Issue 1, p. 115-122
- Publisher Link
- http://dx.doi.org/10.1111/ajr.12826
- Publisher
- John Wiley & Sons
- Resource Type
- journal article
- Date
- 2021
- Description
- Problem: The predicted global trend of increasing total hip replacement and total knee replacement numbers leads to a direct and growing impact on health care services. Models of care including ‘fast-track’ mobilisation after total hip replacement and total knee replacement have been reported to reduce length of stay. This has not been verified in rural settings. Setting: Armidale Rural Referral Hospital Key measures for improvement: The new post-operative care included early discharge planning with or without Day 0 mobilisation with aims to decrease hospital length of stay without affecting complication rates, compared to the conventional model of care Strategies for change: Consistent communication and planning for early discharge occurred before and throughout admission and Day 0 mobilisation. Effects of change: There was a statistically significantly less median length of stay following implementation of the new post-operative care model (3.24 vs 2.29 days [P < .01]). There was no statistically significant difference in complications or readmissions following the change. Those who were allocated to mobilise on Day 0 had a lesser median length of stay than those who did not (2.40 vs 2.27 days, P = .03). Lessons learnt: Our results indicate that the new post-operative care model is safe and feasible for total knee replacement or total hip replacement patients in a rural setting and might reduce length of stay without compromising clinical outcomes.
- Subject
- complications and readmissions; day 0 mobilisation; length of stay; total hip replacement; total knee replacement
- Identifier
- http://hdl.handle.net/1959.13/1459602
- Identifier
- uon:45725
- Identifier
- ISSN:1038-5282
- Language
- eng
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