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骨科关节置换术加速康复计划面临的挑战。

Challenges to the orthopaedic arthroplasty enhanced recovery programme.

作者信息

Kerr Hui-Ling, Armstrong Lesley Ann, Beard Laura, Teichmann Dominic, Mutimer Jonathan

机构信息

Trauma and Orthopaedics, Bristol Royal Infirmary, UK.

Trauma and Orthopaedics, Gloucestershire Royal Hospital, UK.

出版信息

J Perioper Pract. 2017 Jan;27(1-2):15-19. doi: 10.1177/1750458917027001-202.

Abstract

We performed a retrospective study of patients undergoing total knee and hip arthroplasty on an enhanced recovery programme, to identify pre- and postoperative factors contributing to an increased length of hospital stay. Of 109 patients, only 61 (56%) were ready for discharge on the fifth postoperative day. The three most common reasons for delays were oozing wounds, postoperative medical problems and failure to reach physiotherapy goals.

摘要

我们对接受全膝关节和髋关节置换术并采用强化康复计划的患者进行了一项回顾性研究,以确定导致住院时间延长的术前和术后因素。在109例患者中,只有61例(56%)在术后第5天准备好出院。延迟出院的三个最常见原因是伤口渗血、术后医疗问题和未达到物理治疗目标。

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