Pre-operative Patient Education Reduces Length of Stay After Knee Joint Arthroplasty

Overview

Journal Ann R Coll Surg Engl

Specialty General Surgery

Date 2011 Mar 23

PMID 21418755

Citations 39

Authors

Samantha Jones

Mustafa Alnaib

Michail Kokkinakis

Michael Wilkinson

Alan St Clair Gibson

Deiary Kader

Affiliations

Soon will be listed here.

Abstract

Introduction: The aim of this study was to evaluate the impact of a pre-operative education programme on length of hospital stay after surgery for primary and revision knee arthroplasty patients. The programme was introduced at our hospital in October 2006 to encourage patients to play an active role in their recovery process after surgery.

Patients And Methods: A multidisciplinary team educated knee arthroplasty patients about their care pathway, knee surgery, pain management, expected discharge goals, in-patient and out-patient arthroplasty rehabilitation. Prospective data were collected from 472 consecutive patients who underwent (primary or revision) knee arthroplasty in the period between January 2006 and November 2007. Patients were separated into two groups, one that received conventional pre-operative treatment (n = 150; Conventional group) and another that received the pre-operative education (n = 322; Education group). Length of hospital stay was compare using the Mann Whitney U test. In-patient complications, hospital re-admissions within 24 h and 3 months of hospital discharge were compared using the chi-squared test.

Results: The mean length of stay was significantly reduced from 7 days in the Conventional group to 5 days in the Education group (P < 0.01). In addition, 20% more patients were discharged early (within 1-4 days) in the Education group compared to the Conventional group (P < 0.01). There was no difference in the percentage of in-patient complications and re-admissions in 24 h (P = 1.00) and 3 months of discharge (P = 0.92) between the two groups.

Conclusions: The results suggest that pre-operative education is a safe and effective method of reducing length of stay for knee arthroplasty patients.

Citing Articles

Psychosocial Interventions to Reduce Post operative Pain in Total Knee Arthroplasty: A Systematic Review.

Marcos C, Schiller N, Braun S, Knauer D, Yadeau J, Nocon A HSS J. 2024; :15563316241260717.

PMID: 39564413 PMC: 11572368. DOI: 10.1177/15563316241260717.

Role of Preoperative Information and Education of Patients Undergoing Total Hip Arthroplasty: A Narrative Review of the Literature.

Amprachim S, Vlamis J, Nikolaou V, Pneumaticos S Cureus. 2024; 16(8):e66094.

PMID: 39224727 PMC: 11368389. DOI: 10.7759/cureus.66094.

Impact of a Remote Patient Monitoring Platform on Outcomes Following a Total Hip or Knee Arthroplasty.

Chahal S, Siddiqui R, Puskas L, Littlefield S, Naeem L, Fanti C Arthroplast Today. 2024; 27:101415.

PMID: 38912097 PMC: 11190474. DOI: 10.1016/j.artd.2024.101415.

Systematic review and narrative description of the outcomes of group preoperative education before elective major surgery.

Fecher-Jones I, Grimmett C, Ainsworth B, Wensley F, Rossiter L, Grocott M BJA Open. 2024; 10:100286.

PMID: 38832071 PMC: 11145434. DOI: 10.1016/j.bjao.2024.100286.

Does Participation in Virtual or In-Person Preoperative Education Relate to Reduced Length of Stay After Total Joint Arthroplasty?.

Camillieri S HSS J. 2024; 20(1):83-89.

PMID: 38356753 PMC: 10863587. DOI: 10.1177/15563316231208454.

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