老年患者在择期关节置换术前可能不需要接受术前教育课程。
Preoperative Educational Classes in Elderly Patients May Not be Necessary Prior to Elective Joint Arthroplasty.
机构信息
John A Burns School of Medicine, University of Hawai'i Honolulu, HI (MKA).
Straub Medical Center: Bone and Joint Center, Honolulu, HI (DRYL, KKW, STN, SNA, CKN.
出版信息
Hawaii J Health Soc Welf. 2023 Jun;82(6):135-140.
Preoperative arthroplasty classes decrease complications and readmissions, however, in-person classes are inconvenient for elderly patients with mobility limitations. This retrospective review included 232 patients (305 joints) with in-person preoperative educational classes (IPC) and 155 patients (192 joints) with telephone preoperative educational classes (TC). Compared to IPC, TC patients had a shorter length of stay (P<.009), but a greater percentage made at least one postoperative clinic call (22.8% vs 40%; P<.001). No differences were noted in complications, but emergency room visits significantly decreased for total knee TC patients (P=.039). The increase in clinic calls may be addressed through focused changes to the preoperative telephone dialogue, providing a safe and efficient alternative to IPCs.
术前关节成形术分类可降低并发症和再入院率，但对于行动不便的老年患者来说，面对面的课程不太方便。本回顾性研究纳入了 232 例（305 个关节）接受面对面术前教育课程（IPC）和 155 例（192 个关节）接受电话术前教育课程（TC）的患者。与 IPC 相比，TC 患者的住院时间更短（P<.009），但至少拨打一次术后诊所电话的比例更高（22.8%比 40%；P<.001）。两组并发症无差异，但全膝关节 TC 患者的急诊就诊次数显著减少（P=.039）。通过对术前电话对话进行有针对性的改变，可以增加诊所就诊次数，为 IPC 提供一种安全有效的替代方法。
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