Evidence map›Paper›PMID 34514183›Full record

ArticleProgress in rehabilitation medicine2021

Factors Affecting the Length of Convalescent Hospital Stay Following Total Hip and Knee Arthroplasty.

So Kuwakado, Kenichi Kawaguchi, Akemi Sakugawa, Masanori Takahashi, Taiji Oda, Nobuto Shimamoto, Goro Motomura, Satoshi Hamai, Yasuharu Nakashima

Abstract read
In one paragraph

Article in Progress in rehabilitation medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

So KuwakadoDepartment of Rehabilitation Medicine, Kyushu University Hospital, Fukuoka, Japan.
Kenichi KawaguchiDepartment of Rehabilitation Medicine, Kyushu University Hospital, Fukuoka, Japan.
Akemi SakugawaDepartment of Rehabilitation Medicine, Fukuoka Mirai Hospital, Fukuoka, Japan.
Masanori TakahashiDepartment of Rehabilitation Medicine, Fukuoka Mirai Hospital, Fukuoka, Japan.
Taiji OdaDepartment of Rehabilitation Medicine, Fukuoka Mirai Hospital, Fukuoka, Japan.
Nobuto ShimamotoDepartment of Rehabilitation Medicine, Fukuoka Mirai Hospital, Fukuoka, Japan.
Goro MotomuraDepartment of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Satoshi HamaiDepartment of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Yasuharu NakashimaDepartment of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectives: An important role of convalescent rehabilitation wards is the short-term improvement of mobility and activities of daily living (ADL). We aimed to identify predictors associated with the length of stay (LOS) in a convalescent hospital after total hip and knee arthroplasty.

methods: This study included 308 patients hospitalized in a convalescent ward following total hip or total knee arthroplasty. The following factors were examined: age, sex, orthopedic comorbidities, motor component of the functional independence measure (M-FIM), M-FIM gain, pain, 10-m walk test, timed up and go (TUG) test, functional ambulation category (FAC), cognitive function, and nutritional status. LOS was categorized as shorter (≤40 days) or longer (>40 days), based on the national average LOS in a convalescent ward, and was statistically analyzed with predictor variables.

results: In our hospital, the average LOS was 36.9 ± 21.4 days, and the average M-FIM at admission to the convalescent ward and the M-FIM gain were 71.1 ± 7.0 and 16.3 ± 6.9, respectively. In univariate analysis, there was a significant correlation between LOS and M-FIM at admission and M-FIM gain, pain, TUG time, and FAC. Logistic multivariate analysis identified M-FIM at admission (odds ratio [OR] 0.93, 95% confidence interval [CI] 0.88-0.98) and TUG time (OR 1.10, 95% CI 1.03-1.18) as independent predictors of LOS.

conclusions: The M-FIM and TUG test can be used to accurately estimate LOS and to plan rehabilitation treatment in a convalescent rehabilitation ward after lower-limb arthroplasty. Furthermore, preoperative or early postoperative intervention may lead to better quality motor activity and shorter LOS during the convalescent period.

Indexed as

arthroplastyconvalescent rehabilitation wardfunctional independence measurelength of staytimed up and go test

Identifiers

PMID34514183
PMCPMC8385549

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