Clinical pathway and effectiveness of total knee arthroplasty

doi:10.3969/j.issn.2095-4344.2015.09.00

Abstract

Abstract:

BACKGROUND: The total knee arthroplasty surgery is developing vigorously, due to regional differences, the length of hospital stay and the medications remain controversial and have no consensus. To standardize medical behavior and reduce medical costs, the National Health and Family Planning Commission of the People’s Republic of China (former Ministry of Health of the People’s Republic of China) has formatted and generalized clinical pathway work.
OBJECTIVE: To explore the effectiveness of clinical pathway in total knee arthroplasty.
METHODS: One hundred and thirty patients who were candidates of total knee arthroplasty due to osteoarthritis or rheumatoid arthritis were recruited from the First Affiliated Hospital of Xinjiang Medical University between November 2013 and October 2014. Patients were randomly divided into two groups: study group (n=65, clinical pathway intervention) and control group (n=65, no clinical pathway intervention). The length of hospital stay, total and concrete medical fees, antibiotic usage, postoperative complications and postoperative knee function were compared between groups.
RESULTS AND CONCLUSION: Length of hospital stay and preoperative hospitalization time were shortened in the study group, total cost of hospitalization, drug cost and inspection cost were significantly reduced compared with the control group (P < 0.01). A more reasonable use of antibiotics was found in the study group than in the control group, showing significant differences (P < 0.01). At 3 months after operation, KSS score of knee joint function was significantly higher in the study group than in the control group (P < 0.01). There was no difference between the two groups in the operation fee, postoperative complications and KSS score at postoperative 1 month (P > 0.05). The use of clinical pathway can reduce hospitalization time and medical costs, improve knee function and quality of life of patients following total knee arthroplasty.

中国组织工程研究杂志出版内容重点：人工关节；骨植入物；脊柱；骨折；内固定；数字化骨科；组织工程

全文链接：

Key words: Arthroplasty, Replacement, Knee, Randomized-Controlled Trials

CLC Number:

R318

Wang Yang, Liu Yi-chao, Ma Jun. Clinical pathway and effectiveness of total knee arthroplasty[J]. Chinese Journal of Tissue Engineering Research, 2015, 19(9): 1340-1344.

Figures/Tables 2

References

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