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  1. Decreasing length of stay after total joint arthroplasty : Effect on referrals to rehabilitation units.

    Article - En anglais

    Objective 

    To determine how protocols designed to decrease length of stay on orthopedic services after total joint replacements affect referrals for admission to rehabilitation units.

    To determine if the physical status scale of the American Society of Anesthesiologists (ASA) is a useful indicator of comorbid illnesses that affect the need for rehabilitation services.

    Design 

    Cohort study ; consecutive sample.

    Setting 

    University medical center.

    Participants 

    All patients admitted for total joint arthroplasty between April 12 and October 14,1997.

    Main Outcome Measure 

    Discharge to home or to rehabilitation unit.

    Results 

    Length of stay was reduced from 6.4 days in 1995 to 5.1 days in 1997.

    The percentage of patients admitted to rehabilitation units increased from 18% in 1995 to 33% in 1997.

    Patients who are older, live alone, and have ASA scores of 3 or 4 were most likely to require admission to a rehabilitation unit.

    Conclusion 

    The ASA is a useful measure of comorbidity affecting the need for rehabilitation service.

    Efforts to decrease cost of acute care services may shift costs of care to postacute services.

    Mots-clés Pascal : Prothèse, Articulation, Homme, Durée, Hospitalisation, Exploration, Rééducation, Evolution, Coût, Economie santé, Chirurgie

    Mots-clés Pascal anglais : Prosthesis, Joint, Human, Duration, Hospitalization, Exploration, Reeducation, Evolution, Costs, Health economy, Surgery

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0130663

    Code Inist : 002B25I. Création : 16/11/1999.