tailieunhanh - báo cáo khoa học:" Patient-reported outcome after fast-track hip arthroplasty: a prospective cohort study"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Patient-reported outcome after fast-track hip arthroplasty: a prospective cohort study | Larsen et al. Health and Quality of Life Outcomes 2010 8 144 http content 8 1 144 HEALTH AND QUALITY of life outcomes RESEARCH Open Access Patient-reported outcome after fast-track hip arthroplasty a prospective cohort study Kristian Larsen1 2 Torben B Hansen1 2 f Kjeld S0balle2 3 Henrik Kehlet2 4 Abstract Background A fast-track intervention with a short preoperative optimization period and short postoperative hospitalization has a potential for reduced convalescence and thereby a reduced need for postoperative rehabilitation. The purpose of this study was to describe patient-related outcomes the need for additional rehabilitation after a fast-track total hip arthroplasty THA and the association between generic and disease specific outcomes. Methods The study consisted of 196 consecutive patients of which none received additional rehabilitation beyond an instructional exercise plan at discharge which was adjusted at one in-patient visit. The patients filled in 3 questionnaires to measure health-related quality-of-life HRQOL and hip specific function EQ-5 D SF36 and Harris Hip Score HHS at 2 time points pre- and 2 time points postoperatively. The observed results were compared to normative population data for EQ-5 D SF36 and HHS. Results 3-months postoperatively patients had reached a HRQOL level of SD which was similar to the population norm P whereas they exceeded the population norm at 12 months postoperatively P . For SF36 physical function PF was SD 3 months postoperatively which was lower than the population norm P . PF was similar to population norm 12-months postoperatively P . For HHS patients never reached the population norm within 12 months postoperatively. Generic and disease specific outcomes were strongly associated. Conclusions If HRQOL is considered the primary outcome after THA the need for additional postoperative rehabilitation for all THA patients following a fast-track intervention is .