Immediate Physical Therapy following Total Joint Arthroplasty: Barriers and Impact on Short-Term Outcomes

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2019
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Abstract
Background. Recent evidence suggests benefit to receiving physical therapy (PT) the same day as total joint arthroplasty (TJA), but relatively little is known about barriers to providing PT in this constrained time period. We address the following questions: (1) Are there demographic or perioperative variables associated with receiving delayed PT following TJA? (2) Does receiving immediate PT following TJA affect short-term outcomes such as length of stay, discharge disposition, or 30-day readmission? Methods. Primary TJA procedures at a single center were retrospectively reviewed. Immediate PT was defined as within eight hours of surgery. Demographic and perioperative variables were compared between patients who received immediate PT and those who did not. We identified an appropriately matched control group of patients who received immediate PT. Postoperative length of stay, discharge disposition, and 30-day readmissions were compared between matched groups. Results. In total, 2051 primary TJA procedures were reviewed. Of these, 226 (11.0%) received delayed PT. These patients had a higher rate of general anesthesia (25.2% versus 17.8%,
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hunter2019immediateadvances Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Warwick, Hunter;George, Andrew;Howell, Claire;Green, Cynthia;Seyler, Thorsten M.;Jiranek, William A.;Warwick, Hunter;George, Andrew;Howell, Claire;Green, Cynthia;Seyler, Thorsten M.;Jiranek, William A.;
Journal advances in orthopedics
Year 2019
DOI
10.1155/2019/6051476
URL
https://www.hindawi.com/journals/aorth/2019/6051476/abs/
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