Predicting early clinical function after hip or knee arthroplasty

Bone & Joint Research
S PoitrasP E Beaule

Abstract

Patient function after arthroplasty should ideally quickly improve. It is not known which peri-operative function assessments predict length of stay (LOS) and short-term functional recovery. The objective of this study was to identify peri-operative functions assessments predictive of hospital LOS and short-term function after hospital discharge in hip or knee arthroplasty patients. In total, 108 patients were assessed peri-operatively with the timed-up-and-go (TUG), Iowa level of assistance scale, post-operative quality of recovery scale, readiness for hospital discharge scale, and the Western Ontario and McMaster Osteoarthritis Index (WOMAC). The older Americans resources and services activities of daily living (ADL) questionnaire (OARS) was used to assess function two weeks after discharge. Following multiple regressions, the pre- and post-operative day two TUG was significantly associated with LOS and OARS score, while the pre-operative WOMAC function subscale was associated with the OARS score. Pre-operatively, a cut-off TUG time of 11.7 seconds for LOS and 10.3 seconds for short-term recovery yielded the highest sensitivity and specificity, while a cut-off WOMAC function score of 48.5/100 yielded the highest sensitivity a...Continue Reading

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Citations

Sep 24, 2015·Bone & Joint Research·D F HamiltonA H R W Simpson
Jun 23, 2019·JMIR Rehabilitation and Assistive Technologies·Fernando Dias CorreiaVirgílio Bento
Aug 29, 2020·Journal of Orthopaedic Surgery and Research·Nicola A Hewlett-SmithJames W Furness
Apr 18, 2021·BMC Musculoskeletal Disorders·Ellen OostingEllen Breedveld

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