Can We Reduce the Utilization of Home-Visiting Nurse Services After Primary Total Joint Arthroplasty?

Ponzio, Danielle Y.; Park, Andrew G.; Bhat, Suneel B.; Purtill, James J.

doi:10.1016/j.arth.2016.02.078

Cited by 10 publications

(17 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Lastly, only a few respondents (about 10%) stated that their practice was informed by local restrictions or standards. Data on the effect of home care nursing on readmission and health care cost after surgical interventions remains sparse, with a few recent examples relating to transurethral prostatic resection, 5 joint replacement, 6 pancreatectomy, 7 day-case laparoscopic Nissen fundoplication 8 and hemorrhoidectomy, 9 short-stay programs after breast surgery 10 and our group's work on vascular procedures. 2,3 Use of home care nursing internationally appears to be based on the opinion and training of health care providers.…”

Section: Discussionmentioning

confidence: 99%

A survey of Canadian surgeons on the indications for home care nursing following vascular surgery

Jacob-Brassard

Al‐Omran

Salata

et al. 2021

cjs

View full text Add to dashboard Cite

Background: Recent evidence suggests that home care nursing is variably prescribed after vascular surgery, and may reduce emergency department visits and hospital readmissions. We therefore sought to characterize the indications for home care nursing following vascular surgery from the surgeon’s perspective. Methods: An online survey was distributed to the 141 members of the Canadian Society for Vascular Surgery with questions related to home care nursing after carotid endarterectomy (CEA), endovascular aortic aneurysm repair (EVAR), open abdominal aortic aneurysm (AAA) repair and open or hybrid revascularization for peripheral arterial disease (PAD). We included all questionnaires in our analysis; the frequency denominator changes according to the number of respondents who completed each survey item. Results: There were 46 survey respondents (33% of 141) from across the country. A total of 28 (62% of 45) worked in a teaching hospital. Home care nursing was routinely prescribed by 5%, 10%, 31% and 41% of respondents following CEA, EVAR, open AAA repair and open or hybrid revascularization for PAD, respectively. Across all procedure types, the same procedure-related criteria were most often deemed to warrant a prescription for home care nursing: surgical site infection, wound complications (e.g., open wound, lymphatic leak) and use of negative-pressure wound therapy. Across all procedure types, lack of social support, physical frailty and cognitive impairment were most frequently identified as patient-specific considerations for prescribing home care nursing. Few respondents reported restrictions or standards that informed their prescribing practice. Conclusion: Most surgeon respondents agreed on the indications for home care nursing after vascular surgery. However, evidence-based standards to guide patient selection for home care nursing after vascular surgery are needed.

show abstract

Section: Discussionmentioning

confidence: 99%

A survey of Canadian surgeons on the indications for home care nursing following vascular surgery

Jacob-Brassard

Al‐Omran

Salata

et al. 2021

cjs

View full text Add to dashboard Cite

show abstract

“…Separately, home health care is frequently used after total joint arthroplasty. A recent study demonstrated that when home care was not used, patients had similar 30-day complication rates, and patient satisfaction remained high 8 .…”

Section: Discussionmentioning

confidence: 99%

Use of Routine Home Health Care and Deviations From an Uncomplicated Recovery Pathway After Radical Prostatectomy

Kaye

Syrjamaki

Ellimoottil

et al. 2018

Urology

View full text Add to dashboard Cite

show abstract

“…Ponzio et al reported on a strategy to reduce the utilization of home visiting nurse services after primary total hip arthroplasty [36]. The authors suggest that a highly coordinated, surgeon-driven rehabilitation protocol individualized to each patient could result in a more cost-effective approach to care without adversely impacting patient reported outcomes and satisfaction.…”

Section: Cost Containmentmentioning

confidence: 99%

Current Trends in Discharge Disposition and Post-discharge Care After Total Joint Arthroplasty

Tarity¹,

Swall²

2017

Curr Rev Musculoskelet Med

View full text Add to dashboard Cite

Purpose of Review The purpose of this manuscript is to review published literature over the last 5 years to assess recent trends and influencing factors regarding discharge disposition and post-discharge care following total joint arthroplasty. We evaluated instruments proposed to predict a patient's discharge disposition and summarize reports investigating the safety in sending more patients home by reviewing complications and readmission rates. Recent Findings Current literature supports decreased length of hospital stay and increased discharge to home with cost savings and stable readmission rates. Summary Surgeons with defined clinical pathways and those who shape patient expectations may more effectively control costs than those without defined pathways. Further research is needed analyzing best practices in care coordination, managing patient expectations, and costeffective analysis of home discharge while at the same time ensuring patient outcomes are optimized following total joint arthroplasty.

show abstract

Can We Reduce the Utilization of Home-Visiting Nurse Services After Primary Total Joint Arthroplasty?

Cited by 10 publications

References 11 publications

A survey of Canadian surgeons on the indications for home care nursing following vascular surgery

A survey of Canadian surgeons on the indications for home care nursing following vascular surgery

Use of Routine Home Health Care and Deviations From an Uncomplicated Recovery Pathway After Radical Prostatectomy

Current Trends in Discharge Disposition and Post-discharge Care After Total Joint Arthroplasty

Contact Info

Product

Resources

About