Association Between Patient and Facility Characteristics and Rehabilitation Outcomes After Joint Replacement Surgery in Different Rehabilitation Settings for Older Adults: A Systematic Review

Abstract

In the United States, an exponential increase in total hip arthroplasty (THA) and total knee arthroplasty (TKA) demand has been observed over the last 2 decades. [1][2][3] Both THA and TKA are cost-effective surgical procedures done to regain function of the hip and knee joints, reduce the majority were White (in those reporting race/ethnicity). Most studies evaluated outcomes at discharge and showed that patients admitted to inpatient rehabilitation facilities had either similar or better functional outcomes (mobility, selfcare, and functional independence measure (FIM) score) and lower length of stay compared with those in SNFs. Few studies focused on home health care. Conclusions:The systematic review focused on older adults showed that findings in these patients are consistent with previous research. Older adults undergoing THA/TKA had acceptable outcomes regardless of postsurgical, inpatient setting of care. Research conducted after CMS payment reforms, in home health care settings, and in more diverse samples is needed. Given the known racial/ethnic disparities in THA/ TKA and the shifts to postsurgical home health care with little regulatory oversight of care quality, contemporary research on outcomes of postsurgical THA/TKA outcomes is warranted.

Association of affected and non-affected side ability with postoperative outcomes in patients undergoing total hip arthroplasty

“…The definition of walking independence was defined as the ability to walk 50 m without assistance regardless of the use of walking aids, based on the FIM definition. 18,19…”