Rackwitz L, Reyle-Hahn S-M, Nöth U
Klinik für Orthopädie und Unfallchirurgie, Evangelisches Waldkrankenhaus Spandau, Berlin, Deutschland.
Klinik für Anästhesiologie und Interdisziplinäre Intensivmedizin, Evangelisches Waldkrankenhaus Spandau, Stadtrandstr. 555, 13589, Berlin, Deutschland.
Orthopade. 2020 Apr;49(4):299-305. doi: 10.1007/s00132-020-03886-9.
Patient management and education are essential for successful fast-track hip/knee arthroplasty. Individual risk stratification as well as educational seminars play an important role in optimizing preoperative risk factors.
Preoperative risk factors are discussed, and optimization strategies are highlighted in the context of the current literature. Further, our own results of an interdisciplinary patient seminar and a patient information app shall be discussed.
In addition to the authors' own strategy concerning preoperative patient management and the execution of the patient information seminar and app, the essential papers from the literature will be discussed.
Preoperative risk factors (diabetes, obesity, anaemia, etc.) bear the danger of a prolonged length-of-stay with increased morbidity and mortality. Preoperative optimization can reduce the risk of complications and minimize the failure of the fast-track pathway. Educational seminars and patient information apps may reduce anxiety and postoperative analgesic consumption.
A good preoperative patient management in fast-track arthroplasty can reduce the risk of complications and a prolonged length-of-stay. A comprehensive patient education with educational seminars and an app contributes to optimally preparing the patient for surgery.
患者管理和教育对于快速康复髋关节/膝关节置换术的成功至关重要。个体风险分层以及教育研讨会在优化术前风险因素方面发挥着重要作用。
讨论术前风险因素，并结合当前文献强调优化策略。此外，还将讨论我们自己举办的跨学科患者研讨会和患者信息应用程序的结果。
除了作者自身关于术前患者管理以及举办患者信息研讨会和应用程序的策略外，还将讨论文献中的重要论文。
术前风险因素（糖尿病、肥胖、贫血等）存在住院时间延长、发病率和死亡率增加的风险。术前优化可降低并发症风险，并使快速康复流程的失败率降至最低。教育研讨会和患者信息应用程序可能会减轻焦虑并减少术后镇痛药物的使用。
在快速康复关节置换术中，良好的术前患者管理可降低并发症风险和延长住院时间的风险。通过教育研讨会和应用程序进行全面的患者教育有助于使患者为手术做好最佳准备。
