Rehabilitation effects in patients with total hip replacement: a systematic review and meta-analysis

Tugni, Carlo; Sansoni, Julita; Vanacore, Nicola; Valente, Donatella

doi:10.23736/s0394-3410.19.03929-8

Cited by 3 publications

(3 citation statements)

References 62 publications

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“…Rehabilitation is recommended by the main Osteoporosis Guidelines available in the literature in patients with osteoporotic FFPE[ 43 ]. The main goals of the rehabilitation management are reducing pain, improving physical function, independence in activities of daily living and health-related quality of life[ 44 ]. Oldmeadow et al [ 45 ] reported potential benefits of walking 24 h or 48 h from surgery compared to delayed assisted ambulation after 3 d or 4 d from surgery.…”

Section: Rehabilitation and Management Of Osteosarcopeniamentioning

confidence: 99%

Optimization of transdisciplinary management of elderly with femur proximal extremity fracture: A patient-tailored plan from orthopaedics to rehabilitation

Sire

Invernizzi

Baricich

et al. 2021

WJO

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Fractures of femur proximal extremity (FFPE) are the most common fragility fractures requiring hospitalization, with a high risk of mortality, low independence in the activities of daily living and severe consequences on health-related quality of life. Timing for surgery has a key role in the management of elderly patients with FFPE as recommended by the Australian and New Zealand guidelines and the National Institute for Health and Care Excellence guidelines. Early surgery (within 48 h from hospital admission) allows significant benefits in terms of lower rates of postoperative complications and risk of death and can provide better functional outcomes. Therefore, time for surgery could be considered as a comorbidity marker. The choice between conservative or surgical approach surprisingly seems to be still not strongly supported by available literature, but it seems that both 30 d and 1 year risk of mortality is higher with the conservative treatment rather than with surgery. In light of these considerations, the optimization of FFPE management care is mandatory to improve functional outcomes and to reduce sanitary costs. Albeit it is widely accepted that transdisciplinary approach to patients suffering from FFPE is mandatory to optimize both short-term and long-term outcomes, the feasibility of a comprehensive approach in clinical practice is still a challenge. In particular, the large variability of figures involved could be considered both a resource and an additional disadvantage taking into account the difficulty to coordinate multidisciplinary approach covering care in all settings. Therefore, the aim of the present article was to summarize current evidence supporting transdisciplinary management of patients with FFPE, highlighting the benefits, feasibility and limitations of this approach.

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Section: Rehabilitation and Management Of Osteosarcopeniamentioning

confidence: 99%

Optimization of transdisciplinary management of elderly with femur proximal extremity fracture: A patient-tailored plan from orthopaedics to rehabilitation

Sire

Invernizzi

Baricich

et al. 2021

WJO

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“…In a systematic review, Hammett et al (2018) reported that physical functioning improves after total hip arthroplasty caused by OA. The rehabilitation process after THR has been extensively studied (Domínguez‐Navarro et al, 2018; Henderson et al, 2017; Li et al, 2017; Tugni et al, 2019; Wang et al, 2019), although current practices still partly rely on traditions (Wainwright et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

A quasi‐experimental study of group counselling effectiveness for patient functional ability and quality of counselling among patients with hip arthroplasty

Rajala,

Holopainen,

Kääriäinen

et al. 2023

Nursing Open

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AimThe aim of this study was to investigate effectiveness of group counselling for the patients with hip arthroplasty, self‐assessed functional ability, and quality of counselling.DesignA quasi‐experimental study.MethodThe questionnaire included the Counselling Quality Instrument (CQI), Harris hip score and Oldwellactive self‐rated wellness profile. A Mann–Whitney U‐ and chi‐squared and t‐tests were used. A Wilcoxon singed rank test were used to evaluate changes in functional ability.No Patient or Public ContributionPatients and the public were not involved in the design, recruitment and implementation of this study.ResultsFifty patients participated. Patients reported better results for limping (p = 0.000), walking distance (p = 0.000) and use of a walking aid (p = 0.001) in the follow‐up time point and they pain decreased. Patients were satisfied with interactions during counselling; gender (p = 0.000) and use of a walking aid (p = 0.044) were found to significantly affect. A lack of goal‐oriented counselling was in depressive symptoms (p = 0.016), worries (p = 0.010) and loneliness (p = 0.026).

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“… 4 Although transdisciplinary management of femoral fractures is important for optimizing both acute and long-term outcomes, the feasibility of a comprehensive approach in clinical practice remains challenging. 5 , 6 Early prediction of rehabilitation potential and discharge destination in patients with femoral fracture are essential and would help to improve discharge planning. Identifying modifiable factors that predict successful discharge to pre-fracture residential status can also guide clinicians in treatment planning.…”

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confidence: 99%

Predictive factors for home discharge after femoral fracture surgery: a prospective cohort study

CHOW,

MILLER,

PANG

2024

Eur J Phys Rehabil Med

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BACKGROUND Femoral fractures require protracted hospitalization and often preclude return to pre-fracture levels of mobility, function and prior residential status following hospital discharge. Early prediction of rehabilitation and discharge potential in patients with femoral fracture would optimize discharge planning. AIM To identify predictive factors of discharge destination during the early phase of femoral fracture rehabilitation. DESIGN Prospective cohort design. SETTING Acute and postoperative rehabilitation hospital settings. POPULATION Data from 109 participants (65 women [59.6%]) admitted for unilateral femoral fracture were included. METHODS Sociodemographic information, hip pain severity during gait (Numeric Pain Rating Scale), mobility (Elderly Mobility Scale), activities of daily living (Modified Barthel Index), cognition (Mini-Mental State Examination [MMSE]), exercise self-efficacy (Self-Efficacy for Exercise Scale), amount of physiotherapy received, and caregiver availability were assessed pre- and/or postoperatively. Discharge destination was assessed via telephone interviews 6 weeks after discharge from acute care. Receiver operating characteristic curves were used to determine optimal cut-off scores for all outcomes based on discharge destination. Outcomes demonstrating a significant area under the curve were entered as dichotomous independent variables ( i.e. , above or below ROC-derived cut-off values) in subsequent logistic regression analyses to determine predictors of discharge destination. RESULTS SEE Score ≥53 (odds ratio [OR]=5.975, 95% confidence interval [CI]=1.674-21.333, P=0.006), female sex (OR=3.421, 95% CI=1.187-9.861, P=0.023), ≥8 physiotherapy sessions (OR=4.633, 95% CI=1.559-13.771, P=0.006), MMSE Score ≥17 (OR=3.374, 95% CI=1.047-10.873, P=0.042), and caregiver availability (OR=3.766, 95% CI=1.133-12.520, P=0.030) were identified as significant predictors of home discharge. CONCLUSIONS Exercise self-efficacy, female sex, more physiotherapy rehabilitation training, better pre-operative cognitive function, and caregiver availability emerged as important predictors of home discharge following femoral fracture. CLINICAL REHABILITATION IMPACT These findings are highly translational and may be useful for informing clinical guidelines and policy decisions regarding rehabilitation potential and discharge pathway selection during early hospitalization following femoral fracture surgery.

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Rehabilitation effects in patients with total hip replacement: a systematic review and meta-analysis

Cited by 3 publications

References 62 publications

Optimization of transdisciplinary management of elderly with femur proximal extremity fracture: A patient-tailored plan from orthopaedics to rehabilitation

Optimization of transdisciplinary management of elderly with femur proximal extremity fracture: A patient-tailored plan from orthopaedics to rehabilitation

A quasi‐experimental study of group counselling effectiveness for patient functional ability and quality of counselling among patients with hip arthroplasty

Predictive factors for home discharge after femoral fracture surgery: a prospective cohort study

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