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Does face-to-face p...
Does face-to-face pre-operative joint replacement education reduce hospital costs in a regional Australian hospital? A descriptive retrospective clinical audit
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- Lewis, Daniel (författare)
- Department of Physiotherapy, Rockhampton Base Hospital, Central Queensland Hospital and Health Service, Rockhampton, 4700, Australia
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- Fullard, Katherine (författare)
- Department of Physiotherapy, Rockhampton Base Hospital, Central Queensland Hospital and Health Service, Rockhampton, 4700, Australia
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- Kolbe, Tyrone (författare)
- Department of Physiotherapy, Rockhampton Base Hospital, Central Queensland Hospital and Health Service, Rockhampton, 4700, Australia
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- Chapman, Sally (författare)
- Department of Physiotherapy, Rockhampton Base Hospital, Central Queensland Hospital and Health Service, Rockhampton, 4700, Australia
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- Divanoglou, Anestis (författare)
- Department of Exercise and Health Sciences, School of Health, Medical and Applied Sciences, Central Queensland University, Rockhampton, 4701, Australia; Department of Physiotherapy, Faculty of Medicine, University of Iceland, 101, Reykjavík, Iceland
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- Doran, Christopher (författare)
- Centre for Indigenous Health Equity Research, School of Health Medical and Applied Sciences, Central Queensland University, Brisbane, QLD, Australia
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- Hutton, Victoria (författare)
- Department of Exercise and Health Sciences, School of Health, Medical and Applied Sciences, Central Queensland University, Rockhampton, 4701, Australia
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- Santamaria, Joel (författare)
- Department of Exercise and Health Sciences, School of Health, Medical and Applied Sciences, Central Queensland University, Rockhampton, 4701, Australia
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- Heales, Luke J. (författare)
- Department of Exercise and Health Sciences, School of Health, Medical and Applied Sciences, Central Queensland University, Rockhampton, 4701, Australia
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(creator_code:org_t)
- 2019-10-14
- 2019
- Engelska.
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Ingår i: European Journal of Orthopaedic Surgery & Traumatology. - : Springer. - 1633-8065 .- 1432-1068. ; 30:2, s. 257-265
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- ObjectiveTo evaluate whether attending a face-to-face pre-operative joint replacement education in a regional setting reduces overall hospital costs and length of stay (LOS) following total knee replacement (TKR) or total hip replacement (THR).MethodsA retrospective clinical audit reviewed the medical records of all patients who underwent an elective THR or TKR at Rockhampton Hospital in regional Queensland, Australia, between 03/2015 and 12/2016 (22 months). The pre-operative joint replacement education class was provided by a multidisciplinary team that included a physiotherapist, an occupational therapist, a dietician, a pharmacist and a social worker. In addition to demographic data, we extracted and analysed data related to total acute care and total healthcare cost, prevalence of post-operative complications, discharge destination and comorbidities (using the Functional Comorbidity Index).ResultsOut of 326 cases that were included in the analysis, 115 cases with TKR and 51 cases with THR attended a pre-operative education class. Demographic characteristics between those attending and not attending the class were largely similar, except from more females attending in the THR group. There was no difference in hospital costs or LOS between those who attended the class compared to those who did not for both the TKR and THR groups. Outcomes related to total acute stay costs, total cost including travel and education and score for Functional Comorbidities Index were similar between those who attended the class and those who did not.ConclusionPre-operative education does not reduce hospital costs (surgery and hospital stay) in Central Queensland.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Ortopedi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Orthopaedics (hsv//eng)
Nyckelord
- Cost-effectiveness; Patient education; Total hip arthroplasty; Total joint replacement; Total knee arthroplasty
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