Husted Henrik, Hansen Hans Christian, Holm Gitte, Bach-Dal Charlotte, Rud Kirsten, Andersen Kristoffer Lande, Kehlet Henrik
H:S Hvidovre Hospital, Ortopaedkirurgisk Afdeling, Hvidovre.
Ugeskr Laeger. 2006 May 29;168(22):2148-51.
The goal of this study was to evaluate patient satisfaction with the hospital stay in relation to the length of stay for patients operated on with primary total hip- and knee-arthroplasty (THA and TKA).
According to the National Register on Patients, the three departments with the shortest and the three departments with the longest postoperative hospital stay at the end of 2003 were chosen for evaluation. The patients, operated on with THA or TKA from September 2004 to April 2005, from the selected departments answered a questionnaire regarding satisfaction with elected parts of their stay, co-morbidity, sex and age.
The patients from the departments with the shortest stay were not younger nor had they less co-morbidities than patients from departments with longer stays. Apart from staying a significantly shorter time, they were either as satisfied--or sometimes more satisfied--with all parts of their stay compared to patients from the departments with longer hospital stay.
Patients in accelerated stays are not less satisfied with their hospital stay (or any part of it) compared to patients with longer and more conventional hospital stays. These results support the implementation of fast-track total hip- and knee arthroplasty.
本研究的目的是评估初次全髋关节置换术和全膝关节置换术(THA和TKA)患者对住院治疗的满意度与住院时间的关系。
根据国家患者登记册,选取了2003年底术后住院时间最短的三个科室和最长的三个科室进行评估。2004年9月至2005年4月在所选科室接受THA或TKA手术的患者回答了一份关于对住院所选部分的满意度、合并症、性别和年龄的问卷。
住院时间最短科室的患者并不比住院时间较长科室的患者年轻,合并症也不比他们少。除了住院时间明显短得多外,与住院时间较长科室的患者相比,他们对住院的所有方面要么同样满意,要么有时更满意。
与住院时间较长且更传统的患者相比,快速住院的患者对住院治疗(或其任何部分)的满意度并不低。这些结果支持实施快速康复全髋关节和膝关节置换术。