Article ; Online: Telemedicine support shortens length of stay after fast-track hip replacement.
2017 Volume 88, Issue 1, Page(s) 41–47
Abstract: Background and purpose - Telemedicine could allow patients to be discharged more quickly after surgery and contribute to improve fast-track procedures without compromising quality, patient safety, functionality, anxiety, or other patient-perceived ... ...
| Abstract | Background and purpose - Telemedicine could allow patients to be discharged more quickly after surgery and contribute to improve fast-track procedures without compromising quality, patient safety, functionality, anxiety, or other patient-perceived parameters. We investigated whether using telemedicine support (TMS) would permit hospital discharge after 1 day without loss of self-assessed quality of life, loss of functionality, increased anxiety, increased rates of re-admission, or increased rates of complications after hip replacement. Patients and methods - We performed a randomized controlled trial involving 72 Danish patients in 1 region who were referred for elective fast-track total hip replacement between August 2009 and March 2011 (654 were screened for eligibility). Half of the patients received a telemedicine solution connected to their TV. The patients were followed until 1 year after surgery. Results - Length of stay was reduced from 2.1 days (95% CI: 2.0-2.3) to 1.1 day (CI: 0.9-1.4; p < 0.001) with the TMS intervention. Health-related quality of life increased in both groups, but there were no statistically significant differences between groups. There were also no statistically significant differences between groups regarding timed up-and-go test and Oxford hip score at 3-month follow-up. At 12-month follow-up, the rates of complications and re-admissions were similar between the groups, but the number of postoperative hospital contacts was lower in the TMS group. Interpretation - Length of postoperative stay was shortened in patients with the TMS solution, without compromising patient-perceived or clinical parameters in patients undergoing elective fast-track surgery. These results indicate that telemedicine can be of value in fast-track treatment of patients undergoing total hip replacement. |
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| MeSH term(s) | Adult ; Aged ; Aged, 80 and over ; Arthroplasty, Replacement, Hip/methods ; Early Ambulation/methods ; Female ; Follow-Up Studies ; Humans ; Length of Stay/trends ; Male ; Middle Aged ; Quality of Life ; Retrospective Studies ; Telemedicine ; Time Factors | |||||
| Language | English | |||||
| Publishing date | 2017-02 | |||||
| Publishing country | England | |||||
| Document type | Journal Article ; Randomized Controlled Trial | |||||
| ZDB-ID | 2180677-9 | |||||
| ISSN | 1745-3682 ; 1745-3674 | |||||
| ISSN (online) | 1745-3682 | |||||
| ISSN | 1745-3674 | |||||
| DOI | 10.1080/17453674.2016.1256939 | |||||
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| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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