PMID- 25785619
OWN - NLM
STAT- MEDLINE
DCOM- 20170109
LR  - 20170110
IS  - 1542-538X (Electronic)
IS  - 0744-6020 (Linking)
VI  - 34
IP  - 2
DP  - 2015 Mar-Apr
TI  - Measuring functional performance at discharge from hospital after total joint 
      arthroplasty as a pre-requisite for planning early rehabilitation: a prognostic 
      study.
PG  - 95-100
LID - 10.1097/NOR.0000000000000126 [doi]
AB  - BACKGROUND: The autonomy achieved by discharge after total knee and hip 
      arthroplasty is important for planning early rehabilitation. PURPOSE: Describe 
      functional performance using the Iowa Level of Assistance (ILOA) scale and 
      investigate possible prognostic factors. METHODS: A prospective cohort study 
      design was used. Autonomy at discharge was measured using the ILOA scale. 
      Postoperative factors such as time to remove surgical drains, the length of 
      hospitalization, preoperative physical therapy, and the number of physiotherapy 
      treatments were collected. RESULTS: The sample was composed of 452 patients: 191 
      men (42.3%) and 261 women (57.7%). The mean ILOA score was 12.34 (SD = 5.4), 
      representing a level of autonomy of 68.4%. Gait speed was the activity with the 
      highest score and it ranged from 0.26 m/s to 0.32 m/s. Based on univariate and 
      multivariate analysis, gender and age were the only significant variables to 
      influence achieving autonomy at discharge. CONCLUSION: The rehabilitative program 
      in its acute phase should be planned with particular attention paid to elderly 
      women, unifying the physiotherapy protocol for total hip arthroplasty (THA) and 
      total knee arthroplasty (TKA), reviewing the modalities of preoperative treatment 
      sessions and with a specific training for the speed gait.
FAU - Morri, Mattia
AU  - Morri M
AD  - Mattia Morri, PhT, Physiotherapist Researcher, Department of Physical Therapy and 
      Rehabilitation, Istituto Ortopedico Rizzoli, Italy (via Pupilli 1, 40136 
      Bologna). Natalia Franchini, PhT, Physiotherapist, Department of Physical Therapy 
      and Rehabilitation, Istituto Ortopedico Rizzoli, Italy (via Pupilli 1, 40136 
      Bologna). Graziella Gerini, PhT, Physiotherapist, Department of Physical Therapy 
      and Rehabilitation, Istituto Ortopedico Rizzoli, Italy (via Pupilli 1, 40136 
      Bologna). Rosalba Morabito, PhT, Physiotherapist, Department of Physical Therapy 
      and Rehabilitation, Istituto Ortopedico Rizzoli, Italy (via Pupilli 1, 40136 
      Bologna). Elettra Pignotti, PhD, Statistician, Department of Nursing and Allied 
      Health Professions, Istituto Ortopedico Rizzoli, Italy (via Pupilli 1, 40136 
      Bologna). Maria Grazia Benedetti, MD, Medical Director, Department of Physical 
      Therapy and Rehabilitation, Istituto Ortopedico Rizzoli, Italy (via Pupilli 1, 
      40136 Bologna). Ornella Marchese, PhT, Physiotherapist, Department of Physical 
      Therapy and Rehabilitation, Istituto Ortopedico Rizzoli, Italy (via Pupilli 1, 
      40136 Bologna). Enrichetta Zanotti, RN, Director of Department of Nursing and 
      Allied Health Professions, Istituto Ortopedico Rizzoli, Italy (via Pupilli 1, 
      40136 Bologna).
FAU - Franchini, Natalia
AU  - Franchini N
FAU - Gerini, Graziella
AU  - Gerini G
FAU - Morabito, Rosalba
AU  - Morabito R
FAU - Pignotti, Elettra
AU  - Pignotti E
FAU - Benedetti, Maria Grazia
AU  - Benedetti MG
FAU - Marchese, Ornella
AU  - Marchese O
FAU - Zanotti, Enrichetta
AU  - Zanotti E
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Orthop Nurs
JT  - Orthopedic nursing
JID - 8409486
MH  - Adult
MH  - Advance Care Planning
MH  - Aged
MH  - Aged, 80 and over
MH  - Arthroplasty, Replacement, Hip/*rehabilitation
MH  - Arthroplasty, Replacement, Knee/*rehabilitation
MH  - Cohort Studies
MH  - Female
MH  - Humans
MH  - Independent Living
MH  - Male
MH  - Middle Aged
MH  - *Patient Discharge
MH  - Personal Autonomy
MH  - Prognosis
MH  - Prospective Studies
MH  - Young Adult
EDAT- 2015/03/19 06:00
MHDA- 2017/01/10 06:00
CRDT- 2015/03/19 06:00
PHST- 2015/03/19 06:00 [entrez]
PHST- 2015/03/19 06:00 [pubmed]
PHST- 2017/01/10 06:00 [medline]
AID - 00006416-201503000-00007 [pii]
AID - 10.1097/NOR.0000000000000126 [doi]
PST - ppublish
SO  - Orthop Nurs. 2015 Mar-Apr;34(2):95-100. doi: 10.1097/NOR.0000000000000126.