Nasu Takafumi, Yamanoi Junya, Kitagawa Takashi
Department of Rehabilitation Medicine, Juko Osu Hospital, Nagoya, JPN.
Department of Physical Therapy, Shinshu University, Matsumoto, JPN.
Cureus. 2024 Jul 20;16(7):e64989. doi: 10.7759/cureus.64989. eCollection 2024 Jul.
This study aimed to investigate preoperative factors associated with non-home discharges from acute care hospitals in patients undergoing total knee arthroplasty (TKA) due to osteoarthritis. It was a scoping review focused on patients who received their first unilateral TKA for osteoarthritis. The research targeted observational studies that examined the destinations of patients post-surgery based on preoperative factors, with a literature search conducted in April 2023. Out of 3,255 identified papers, 28 met the eligibility criteria. A total of 26 preoperative factors were identified as potentially related to discharge destinations, including age, gender, comorbidities, and obesity. By selecting an appropriate discharge destination based on preoperative factors, there may be potential for more efficient use of medical resources. Future studies should consider preoperative factors in the context of national healthcare systems and lengths of hospital stay.
本研究旨在调查因骨关节炎接受全膝关节置换术（TKA）的患者从急性护理医院非回家出院的术前相关因素。这是一项范围综述，重点关注因骨关节炎接受首次单侧TKA的患者。该研究针对基于术前因素检查患者术后去向的观察性研究，并于2023年4月进行了文献检索。在3255篇已识别的论文中，28篇符合纳入标准。共确定了26个术前因素可能与出院去向相关，包括年龄、性别、合并症和肥胖。通过根据术前因素选择合适的出院去向，可能更有效地利用医疗资源。未来的研究应在国家医疗保健系统和住院时间的背景下考虑术前因素。
