Sharma Sanjeev, Shah Ravi, Draviraj Kingsley Paul, Bhamra M S
Department of Orthopaedic Surgery, Rotherham General Hospitals (NHS) Trust, Rotherham, UK.
J Telemed Telecare. 2005;11(4):211-4. doi: 10.1258/1357633054068883.
We studied the feasibility of telephone interviews to assess hip function in patients who had had a total hip replacement. One hundred patients attending the orthopaedic clinic for follow-up after undergoing total hip replacement were studied. A modified Harris hip score was used. Since range of motion and deformity cannot be assessed by telephone, only pain and function were assessed. The maximum possible score was 100. Patients attending follow-up clinics were contacted by telephone one to two weeks prior to their appointment and a telephone assessment was completed. This was then compared with a face-to-face assessment in the subsequent clinic. The mean hip score obtained with the telephone interview was 85.2 and the mean hip score at face-to-face assessment was 86.1. The mean of the differences between the individual scores was -0.9 (SD 5.5). This difference was not significant ( P=0.11). Only three patients had a clinically significant difference (>20 points) between the two methods. Telephone questionnaires may be a useful adjunct to face-to-face assessment for patient follow-up after total hip replacement.
我们研究了通过电话访谈评估全髋关节置换术后患者髋关节功能的可行性。对100名在骨科门诊接受全髋关节置换术后随访的患者进行了研究。采用改良Harris髋关节评分。由于无法通过电话评估活动范围和畸形情况，因此仅评估疼痛和功能。最高可能评分为100分。在预约就诊前一到两周通过电话联系随访门诊的患者，并完成电话评估。然后将其与后续门诊的面对面评估进行比较。电话访谈获得的平均髋关节评分为85.2分，面对面评估时的平均髋关节评分为86.1分。个体评分差异的平均值为-0.9（标准差5.5）。这种差异不显著（P = 0.11）。只有三名患者在两种评估方法之间存在临床上显著的差异（>20分）。电话问卷可能是全髋关节置换术后患者随访中面对面评估的有用辅助手段。
