Effect of Joint Camp on Patient Outcomes Following Total Joint Replacement

Dehorney, Ivana; Ashcraft, Pamela F.

doi:10.1097/ncq.0000000000000290

Cited by 2 publications

(14 citation statements)

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“…A systematic review has been conducted (Bahadori et al, 2020). The remaining nine articles were observational studies categorized as prospective comparative studies, before-and-after studies, retrospective studies, and case studies (Berg et al, 2018; Dehorney & Ashcraft, 2018; Gabor et al, 2020; Glans et al, 2020; Gruskay et al, 2019; Harris et al, 2021; Lyman et al, 2020; Mascioli et al, 2021; Oosterholt et al, 2017; Zheng et al, 2019).…”

Section: Results and Discussion Characterization Of The Body Of Liter...mentioning

confidence: 99%

“…A common theme among all articles was that same-day outpatient TJR patients who received adequate and streamlined perioperative education had fewer readmissions in the 30-day postoperative period. (Bahadori et al, 2020; Berg et al, 2018; Campbell et al, 2019; Dehorney & Ashcraft, 2018; Gabor et al, 2020; Hussain et al, 2017; Lyman et al, 2020; Oosterholt et al, 2017; Stauber et al, 2020; Timmers et al, 2019; Zheng et al, 2019). Readmission rates were measured in all studies (Bahadori et al, 2020; Berg et al, 2018; Campbell et al, 2019; Dehorney & Ashcraft, 2018; Gabor et al, 2020; Glans et al, 2020; Gruskay et al, 2019; Harris et al, 2021; Hussain et al, 2017; Lyman et al, 2020; Mascioli et al, 2021; Oosterholt et al, 2017; Stauber et al, 2020; Timmers et al, 2019; Zheng et al, 2019).…”

Section: Results and Discussion Characterization Of The Body Of Liter...mentioning

confidence: 99%

“…According to the results of these studies, patients who undergo TJR in a same-day outpatient surgical setting and receive fast-track streamlined postoperative education or use an RMA have lower readmission rates (Bahadori et al, 2020; Berg et al, 2018; Campbell et al, 2019; Dehorney & Ashcraft, 2018; Gabor et al, 2020; Glans et al, 2020; Gruskay et al, 2019; Harris et al, 2021; Hussain et al, 2017; Lyman et al, 2020; Mascioli et al, 2021; Oosterholt et al, 2017; Stauber et al, 2020; Timmers et al, 2019; Zheng et al, 2019). Gabor et al (2020) reported low postoperative complication rates and only 2% of the sampled patients were readmitted to the hospital.…”

Section: Results and Discussion Characterization Of The Body Of Liter...mentioning

confidence: 99%

“…The postoperative recovery period improves after mobile technology (Bahadori et al, 2020; Hussain et al, 2017; Lyman et al, 2020; Stauber et al, 2020; Timmers et al, 2019). Decreased postoperative complications, such as increased pain, limited mobility (frozen joint), blood clots, pneumonia, decreased quality of life, infection, and prosthesis dislocation, can be reduced by using recovery messaging and smartphone mobile health educational applications (Bahadori et al, 2020; Berg et al, 2018; Campbell et al, 2019; Dehorney & Ashcraft, 2018; Gabor et al, 2020; Glans et al, 2020; Gruskay et al, 2019; Harris et al, 2021; Hussain et al, 2017; Lyman et al, 2020; Mascioli et al, 2021; Oosterholt et al, 2017; Stauber et al, 2020; Timmers et al, 2019; Zheng et al, 2019). The literature synthesis revealed that using streamlined protocols and RMA in patients undergoing TJR surgery can impact readmission rates and produce positive health outcomes.…”

Section: Results and Discussion Characterization Of The Body Of Liter...mentioning

confidence: 99%

“…The utilization of RMA helps decrease the less than 30-day readmissions rate after outpatient TJR and can lead to a faster recovery and an increase in patient mobility (Bahadori et al, 2020; Berg et al, 2018; Campbell et al, 2019; Gabor et al, 2020; Gruskay et al, 2019; Harris et al, 2021; Hussain et al, 2017; Lyman et al, 2020; Mascioli et al, 2021; Oosterholt et al, 2017; Stauber et al, 2020; Timmers et al, 2019; Zheng et al, 2019). Patient education regarding postoperative recovery can be streamlined through smartphone mobile health applications, thereby decreasing postoperative complications and improving patient outcomes (Bahadori et al, 2020; Campbell et al, 2019; Dehorney & Ashcraft, 2018; Hussain et al, 2017; Lyman et al, 2020; Mascioli et al, 2021; Oosterholt et al, 2017; Stauber et al, 2020; Timmers et al, 2019; Zheng et al, 2019). Reducing postoperative complications and readmissions less than 30-day readmissions after TJR surgery in an outpatient setting using recovery messaging smartphone applications will help improve healthcare outcomes at the organizational, national, and global levels (Bahadori et al, 2020; Berg et al, 2018; Campbell et al, 2019; Dehorney & Ashcraft, 2018; Gabor et al, 2020; Harris et al, 2021; Hussain et al, 2017; Lyman et al, 2020; Mascioli et al, 2021; Oosterholt et al, 2017; Stauber et al, 2020; Timmers et al, 2019; Zheng et al, 2019).…”

Section: Conclusion and Contributions To The Professions Of Nursingmentioning

confidence: 99%

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Use of a Recovery Messaging Application in Outpatient Total Joint Replacement

Melvin¹

2023

Orthopaedic Nursing

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Total joint replacement (TJR) is performed in an outpatient setting for cost containment and reimbursement changes. However, outpatient readmission to the hospital within 30–90 days postoperatively can be costly. Increases in readmission to the hospital less than 30 days postoperatively increase healthcare expenditure and can leave surgical centers without reimbursement. The purpose of the integrative review was to examine 30-day readmission rates for adults post–outpatient TJR within a 12- to 14-week time frame using the recovery messaging application following discharge. A literature search was conducted, and articles were included if they were peer-reviewed academic journals written in English between 2017 and 2022. Fifteen articles were included and evaluated using the John Hopkins evidence summary table to assess the evidence level. The literature analysis identified three themes after using the smartphone application: (a) reducing hospital 30- day readmissions, (b) increasing patient engagement and early mobility, and (c) improving patient outcomes and satisfaction. The findings of this integrative review indicate that using an evidence-based intervention, such as the smartphone application for recovery messaging, can reduce less than 30-day hospital readmissions after outpatient TJR, thus reducing healthcare costs. Future studies should evaluate specific smartphone applications after other general surgical procedures.

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Section: Results and Discussion Characterization Of The Body Of Liter...mentioning

confidence: 99%

Section: Results and Discussion Characterization Of The Body Of Liter...mentioning

confidence: 99%

Section: Results and Discussion Characterization Of The Body Of Liter...mentioning

confidence: 99%

Section: Results and Discussion Characterization Of The Body Of Liter...mentioning

confidence: 99%

Section: Conclusion and Contributions To The Professions Of Nursingmentioning

confidence: 99%

See 3 more Smart Citations

Use of a Recovery Messaging Application in Outpatient Total Joint Replacement

Melvin¹

2023

Orthopaedic Nursing

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The Effect of Preoperative Education Prior to Hip or Knee Arthroplasty on Immediate Postoperative Outcomes

Jones

Davidson

Cline

2022

Orthopaedic Nursing

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There is ample research demonstrating improved patient outcomes when using an enhanced recovery program. However, the literature reporting the impact of preoperative education alone prior to hip and knee arthroplasty is conflicting. With the number of these surgical procedures expected to increase in the next few years, the identification of strategies that positively impact outcomes is important. The aim of this study was to evaluate immediate postoperative physical therapy (PT) performance following a total hip or knee arthroplasty in patients who attended a preoperative education class compared with those who did not. This study was a retrospective chart review of 707 hip and knee arthroplasty patients, comparing outcomes based on preoperative educational session attendance. Demographics, comorbidities, length of stay (LOS), discharge disposition, and PT performance were collected from the chart review. Patients who attended the preoperative education class had significantly greater ambulation distances (p < .001), greater degrees of knee flexion (p < .001), and greater degrees of hip flexion (p = .012) on postoperative Day 1. Both hip (p < .001) and knee (p < .001) patients who attended the class had a significantly shorter LOS. The cost benefit analysis indicated a savings of $921.57 in direct costs per knee arthroplasty in those who attended a class. Patients who received preoperative education had greater mobility in the immediate postoperative period and reduced LOS for both hip and knee arthroplasties. Based on this study's results, preoperative education is effective in improving outcomes and reducing the cost of hip and knee arthroplasties.

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Effect of Joint Camp on Patient Outcomes Following Total Joint Replacement

Cited by 2 publications

References 10 publications

Use of a Recovery Messaging Application in Outpatient Total Joint Replacement

Use of a Recovery Messaging Application in Outpatient Total Joint Replacement

The Effect of Preoperative Education Prior to Hip or Knee Arthroplasty on Immediate Postoperative Outcomes

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