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Immediate Physical Therapy following Total Joint Arthroplasty: Barriers and Impact on Short-Term Outcomes

机译:全关节置换术后的即时物理治疗:障碍和对短期结果的影响

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摘要

Background Recent evidence suggests benefit to receiving physical therapy (PT) the same day as total joint arthroplasty (TJA), but relatively little is known about barriers to providing PT in this constrained time period. We address the following questions: (1) Are there demographic or perioperative variables associated with receiving delayed PT following TJA? (2) Does receiving immediate PT following TJA affect short-term outcomes such as length of stay, discharge disposition, or 30-day readmission? Methods. Primary TJA procedures at a single center were retrospectively reviewed. Immediate PT was defined as within eight hours of surgery. Demographic and perioperative variables were compared between patients who received immediate PT and those who did not. We identified an appropriately matched control group of patients who received immediate PT. Postoperative length of stay, discharge disposition, and 30-day readmissions were compared between matched groups.
机译:背景技术最近的证据表明,在进行全关节置换术(TJA)的同一天接受物理治疗(PT)有益,但在此有限的时间段内提供PT的障碍知之甚少。我们解决以下问题:(1)是否存在与TJA后接受延迟PT相关的人口统计学或围手术期变量? (2)TJA后立即接受PT是否会影响短期结果,例如住院时间,出院安排或30天再入院?方法。回顾性分析了单个中心的主要TJA程序。立即PT定义为手术后八小时内。比较接受立即PT和未接受PT的患者的人口统计学和围手术期变量。我们确定了一个适当匹配的接受即时PT的患者对照组。比较两组患者的术后住院时间,出院安排和再次入院30天。

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