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  1. Article ; Online: The first 6 weeks of recovery after primary total hip arthroplasty with fast track.

    Klapwijk, Lisette C M / Mathijssen, Nina M C / van Egmond, Jeroen C / Verbeek, Bianca M / Vehmeijer, Stephan B W

    Acta orthopaedica

    2018  Volume 89, Issue 1, Page(s) 140

    Language English
    Publishing date 2018
    Publishing country England
    Document type Journal Article ; Published Erratum
    ZDB-ID 2180677-9
    ISSN 1745-3682 ; 1745-3674
    ISSN (online) 1745-3682
    ISSN 1745-3674
    DOI 10.1080/17453674.2017.1375340
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Early recovery trajectories after fast-track primary total hip arthroplasty: the role of patient characteristics.

    Porsius, Jarry T / Mathijssen, Nina M C / Klapwijk-Van Heijningen, Lisette C M / Van Egmond, Jeroen C / Melles, Marijke / Vehmeijer, Stephan B W

    Acta orthopaedica

    2018  Volume 89, Issue 6, Page(s) 597–602

    Abstract: Background and purpose - Little is known about heterogeneity in early recovery after primary total hip arthroplasty (THA). Therefore, we characterized subgroups of patients according to their hip function trajectory during the first 6 weeks after THA in ... ...

    Abstract Background and purpose - Little is known about heterogeneity in early recovery after primary total hip arthroplasty (THA). Therefore, we characterized subgroups of patients according to their hip function trajectory during the first 6 weeks after THA in a fast-track setting. Patients and methods - 94 patients (median age 65 years [41-82], 56 women) from a single hospital participated in a diary study. Patients recorded their severity of hip problems (Oxford Hip Score, OHS) weekly for 6 weeks after THA. Latent class growth modelling (LCGM) was used to identify patients with the same hip function trajectory and to compare these subgroups on patient characteristics. Results - LCGM revealed a fast (n = 17), an average (n = 53), and a slow (n = 24) recovery subgroup. Subgroups differed on the estimated weekly growth rate during the first 2 weeks (fast: 9.5; average: 5.3; slow: 2.7), with fewer differences between groups in the last 4 weeks (fast: 0.90; average: 2.0; slow: 1.7). Patients in the slow recovery group could be characterized as women of older age (mean age =69) who rated their health as lower preoperatively, needed more assistance during recovery, and were less satisfied with the outcomes of the surgery. Interpretation - We identified distinct recovery trajectories in the first 6 weeks after fast-track primary THA which were associated with patient characteristics.
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Arthroplasty, Replacement, Hip/rehabilitation ; Arthroplasty, Replacement, Hip/statistics & numerical data ; Female ; Humans ; Length of Stay/statistics & numerical data ; Male ; Middle Aged ; Netherlands ; Osteoarthritis, Hip/rehabilitation ; Osteoarthritis, Hip/surgery ; Patient Acceptance of Health Care/statistics & numerical data ; Patient Satisfaction ; Postoperative Care/statistics & numerical data ; Prospective Studies ; Recovery of Function
    Language English
    Publishing date 2018-10-23
    Publishing country England
    Document type Journal Article ; Video-Audio Media
    ZDB-ID 2180677-9
    ISSN 1745-3682 ; 1745-3674
    ISSN (online) 1745-3682
    ISSN 1745-3674
    DOI 10.1080/17453674.2018.1519095
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Kategorien

    In stock of ZB MED Cologne/Königswinter

    Uk I Zs.99: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

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  3. Article ; Online: The first 6 weeks of recovery after primary total hip arthroplasty with fast track.

    Klapwijk, Lisette C M / Mathijssen, Nina M C / Van Egmond, Jeroen C / Verbeek, Bianca M / Vehmeijer, Stephan B W

    Acta orthopaedica

    2017  Volume 88, Issue 2, Page(s) 140–144

    Abstract: Background and purpose - Fast-track protocols have been introduced worldwide to improve the recovery after total hip arthroplasty (THA). These protocols have reduced the length of hospital stay (LOS), and THA in an outpatient setting is also feasible. ... ...

    Abstract Background and purpose - Fast-track protocols have been introduced worldwide to improve the recovery after total hip arthroplasty (THA). These protocols have reduced the length of hospital stay (LOS), and THA in an outpatient setting is also feasible. However, less is known regarding the first weeks after THA with fast track. We examined patients' experiences of the first 6 weeks after hospital discharge following inpatient and outpatient THA with fast track. Patients and methods - In a prospective cohort study, 100 consecutive patients who underwent THA surgery in a fast-track setting between February 2015 and October 2015 received a diary for 6 weeks. This diary contained various internationally validated questionnaires including HOOS-PS, OHS, EQ-5D, SF-12, and ICOAP. In addition, there were general questions regarding pain, the wound, physiotherapy, and thrombosis prophylaxis injections. Results - 94 patients completed the diary, 42 of whom were operated in an outpatient setting. Pain and use of pain medication had gradually decreased during the 6 weeks. Function and quality of life gradually improved. After 6 weeks, 91% of all patients reported better functioning and less pain than preoperatively. Interpretation - Fast track improves early functional outcome, and the PROMs reported during the first 6 weeks in this study showed continued improvement. They can be used as a baseline for future studies. The PROMs reported could also serve as a guide for staff and patients alike to modify expectations and therefore possibly improve patient satisfaction.
    MeSH term(s) Acetaminophen/therapeutic use ; Activities of Daily Living ; Adult ; Aged ; Aged, 80 and over ; Ambulatory Surgical Procedures ; Analgesics/therapeutic use ; Anticoagulants/therapeutic use ; Arthroplasty, Replacement, Hip/rehabilitation ; Celecoxib/therapeutic use ; Clinical Protocols ; Cohort Studies ; Heparin, Low-Molecular-Weight/therapeutic use ; Humans ; Injections, Subcutaneous ; Length of Stay ; Middle Aged ; Netherlands ; Oxycodone/therapeutic use ; Pain, Postoperative/drug therapy ; Patient Reported Outcome Measures ; Patient Satisfaction ; Physical Therapy Modalities ; Pilot Projects ; Postoperative Care ; Postoperative Period ; Prospective Studies ; Quality of Life ; Recovery of Function ; Sleep ; Surveys and Questionnaires ; Thrombosis/prevention & control ; Tramadol/therapeutic use
    Chemical Substances Analgesics ; Anticoagulants ; Heparin, Low-Molecular-Weight ; Acetaminophen (362O9ITL9D) ; Tramadol (39J1LGJ30J) ; Oxycodone (CD35PMG570) ; Celecoxib (JCX84Q7J1L)
    Language English
    Publishing date 2017-04
    Publishing country England
    Document type Journal Article ; Observational Study
    ZDB-ID 2180677-9
    ISSN 1745-3682 ; 1745-3674
    ISSN (online) 1745-3682
    ISSN 1745-3674
    DOI 10.1080/17453674.2016.1274865
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

    In stock of ZB MED Cologne/Königswinter

    Uk I Zs.99: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

    Order via subito

    This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

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