PMID- 23543343
OWN - NLM
STAT- MEDLINE
DCOM- 20140326
LR  - 20220330
IS  - 1477-0873 (Electronic)
IS  - 0269-2155 (Linking)
VI  - 27
IP  - 9
DP  - 2013 Sep
TI  - Patient evaluation of early discharge after hip arthroplasty: development of a 
      measure and comparison of three centres with differing durations of stay.
PG  - 854-63
LID - 10.1177/0269215513481686 [doi]
AB  - OBJECTIVE: We compared patients' evaluation of care between a surgical unit with 
      a rapid discharge policy and two comparison units to test the hypothesis that the 
      centre with rapid discharge has outcomes that are not inferior to those of the 
      comparison sites. DESIGN: Cross-sectional cohort study. SUBJECTS: Consecutive 
      consenting patients undergoing primary hip arthroplasty during 12 months in: a 
      unit that had reduced postoperative stay to median three days; a specialised 
      orthopaedic surgery treatment centre with median stay of five days; a traditional 
      unit with median stay of six days (N = 316, 125, 119, respectively). METHODS: Six 
      weeks postoperatively, patients completed a specially developed questionnaire 
      measuring their evaluation of care and recovery, together with measures of 
      function and quality of life for validation purposes. RESULTS: Factor analysis of 
      questionnaire responses identified two independent components of patients' 
      evaluation: problems in staff care and problems in physical recovery. Neither 
      component was impaired in the unit with rapid discharge: similar proportions of 
      patients reported recovery problems in each site (odds radios (ORs) for the two 
      comparators versus unit with rapid discharge: 0.96, 1.18); and more patients 
      reported care problems in the two comparator sites (ORs 2.97, 2.16). CONCLUSION: 
      Duration of stay after primary hip arthroplasty can be reduced to three days 
      without intensive pre- or postoperative care, without detriment to patient 
      evaluation.
FAU - Salmon, Peter
AU  - Salmon P
AD  - Division of Clinical Psychology, University of Liverpool, Liverpool L69 3GB, UK. 
      psalmon@liv.ac.uk
FAU - Hunt, Gillian R
AU  - Hunt GR
FAU - Murthy, Burra V S
AU  - Murthy BV
FAU - O'Brien, Seamus
AU  - O'Brien S
FAU - Beverland, David
AU  - Beverland D
FAU - Lynch, Martin C
AU  - Lynch MC
FAU - Hall, George M
AU  - Hall GM
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Validation Study
DEP - 20130329
PL  - England
TA  - Clin Rehabil
JT  - Clinical rehabilitation
JID - 8802181
SB  - IM
MH  - Aged
MH  - *Arthroplasty, Replacement, Hip
MH  - Cohort Studies
MH  - Cross-Sectional Studies
MH  - Factor Analysis, Statistical
MH  - Female
MH  - *Hospital Units
MH  - Humans
MH  - *Length of Stay
MH  - Male
MH  - *Patient Discharge
MH  - *Patient Satisfaction
MH  - Surveys and Questionnaires
MH  - United Kingdom
OTO - NOTNLM
OT  - Arthroplasty
OT  - length of stay
OT  - patient satisfaction
OT  - patient-centred outcome measure
EDAT- 2013/04/02 06:00
MHDA- 2014/03/29 06:00
CRDT- 2013/04/02 06:00
PHST- 2013/04/02 06:00 [entrez]
PHST- 2013/04/02 06:00 [pubmed]
PHST- 2014/03/29 06:00 [medline]
AID - 0269215513481686 [pii]
AID - 10.1177/0269215513481686 [doi]
PST - ppublish
SO  - Clin Rehabil. 2013 Sep;27(9):854-63. doi: 10.1177/0269215513481686. Epub 2013 Mar 
      29.