دورية أكاديمية
أعرض في EDS

Establishment of a qualified integrated care system after total knee arthroplasty as a role of regional rheumatoid and degenerative arthritis centers.

التفاصيل البيبلوغرافية
العنوان: Establishment of a qualified integrated care system after total knee arthroplasty as a role of regional rheumatoid and degenerative arthritis centers.
المؤلفون: Han EY; Department of Rehabilitation Medicine, Regional Rheumatoid and Degenerative Arthritis Center, Jeju National University College of Medicine, Jeju National University Hospital, Jeju, Republic of Korea., Kim SR; Department of Orthopedic Surgery, Regional Rheumatoid and Degenerative Arthritis Center, Jeju National University College of Medicine, Jeju National University Hospital, Jeju, Republic of Korea., Cho KH; Department of Rehabilitation Medicine, CHA Ilsan Medical Center, CHA University, Goyang, Republic of Korea. jacquilline@gmail.com., Im SH; Department and Research Institute of Rehabilitation Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea. ISH2018@yuhs.ac.
المصدر: BMC geriatrics [BMC Geriatr] 2022 Jul 21; Vol. 22 (1), pp. 606. Date of Electronic Publication: 2022 Jul 21.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 100968548 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2318 (Electronic) Linking ISSN: 14712318 NLM ISO Abbreviation: BMC Geriatr Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2001]-
مواضيع طبية MeSH: Arthroplasty, Replacement, Knee*/rehabilitation , Delivery of Health Care, Integrated* , Osteoarthritis, Knee*/epidemiology , Osteoarthritis, Knee*/surgery, Aged ; Female ; Humans ; Male ; Obesity ; Retrospective Studies ; Treatment Outcome
مستخلص: Background: The geriatric population and advanced knee osteoarthritis are rapidly increasing in Korea, and the socioeconomic burden of total knee arthroplasty (TKA) is increasing. This study aimed to analyze the demographic, clinical and socioeconomic characteristics of patients who underwent TKA and to differentiate the factors affecting participation in inpatient-intensive rehabilitation programs after TKA in the Jeju regional rheumatoid and degenerative arthritis center established by the government.
Methods: This retrospective cohort study included 845 patients (735 females; 72.0 ± 5.8 years) diagnosed with primary osteoarthritis (OA) of the knee who underwent elective unilateral primary TKA between January 2013 and June 2016. Demographic, clinical, and socioeconomic characteristics, including age, body mass index, obesity, length of stay, OA severity, underlying disease, education level, occupation, and location of residence were reviewed. Patients were allocated to the TKA-only group (home discharge) and to the TKA + rehab group (participation in post-TKA rehabilitation). The variables were analyzed and compared before and after the establishment of the center and according to participation in intensive rehabilitation.
Results: Patients who underwent TKA were mostly female, in the 60 s, and had a high prevalence of comorbidities and obesity. After the rehabilitation center's establishment, the intensive post-TKA participation increased profoundly from 3% to 59.2%. Participants after the center establishment had lower mean BMI and a higher proportion of K-L grade 4 compared to those before the center establishment. The location of residence was the only factor differentiating the participation in the intensive rehabilitation.
Conclusion: The regional rheumatoid and degenerative arthritis center was appropriate to satisfy the high unmet need for participating in the intensive rehabilitation after TKA and to execute the qualified integrated post-TKA care system. Policy support should ensure the early rehabilitation and a qualified integrated care system and prepare for the increased burden of revision. Future longitudinal studies should be conducted to assess the long-term effect of the integrated post-TKA rehabilitation program on functional outcomes and patient survivorship free from revision.
(© 2022. The Author(s).)
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فهرسة مساهمة: Keywords: Aged; Arthroplasty; Knee; Osteoarthritis; Rehabilitation
تواريخ الأحداث: Date Created: 20220721 Date Completed: 20220725 Latest Revision: 20220725
رمز التحديث: 20240829
مُعرف محوري في PubMed: PMC9306030
DOI: 10.1186/s12877-022-03277-z
PMID: 35864452
قاعدة البيانات: MEDLINE
الوصف
تدمد:1471-2318
DOI:10.1186/s12877-022-03277-z