Effect of Remote Monitoring on Discharge to Home, Return to Activity, and Rehospitalization After Hip and Knee Arthroplasty

Mehta, Shivan J.; Hume, Eric; Troxel, Andrea B.; Reitz, Catherine; Norton, Laurie; Lacko, Hannah; McDonald, Caitlin; Freeman, Jason; Marcus, Noora; Volpp, Kevin G.; Asch, David A.

doi:10.1001/jamanetworkopen.2020.28328

Cited by 61 publications

(48 citation statements)

References 35 publications

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“…Fernando Dias Correia et al proved that eHealth programs to support individualized patient education on preoperative preparation, in-patient care and home rehabilitation have the potential to increase patient engagement, enhance patient recovery and reduce potential postoperative complications [ 58 ]. The length of postoperative stay was shortened in patients with the TMS solution, without compromising patient-perceived or clinical parameters in patients undergoing elective fast-track surgery.…”

Section: Resultsmentioning

confidence: 99%

Process of Posthospital Care Involving Telemedicine Solutions for Patients after Total Hip Arthroplasty

Kamecka

Rybarczyk-Szwajkowska

Staszewska

et al. 2021

IJERPH

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The importance of telemedicine technologies around the world has been growing for many years, and it turned out to be a particularly important issue for conducting some medical procedures during the SARS-CoV-2 pandemic. It is necessary to create interdisciplinary teams to design and implement improved procedures using telemedicine tools. The aim of the article is to develop original, improved posthospital patient care process after total hip arthroplasty (THA) with the use of telemedicine technologies. In the study, a literature review and empirical research were used. The conducted research resulted in the designing an original posthospital patient care process after THA that uses telematics technologies. Due to the use of analyzed telemedicine technologies, the designed patient care process brings a possibility to increase the patient′s safety by monitoring life parameters, allowing for regular, remote contact with specialists and to be supervised remotely. All this may contribute to shortening the convalescence time, reducing the risk of complications, as well as reducing treatment costs. The designed model is ready for further clinical research with the participation of medical staff, patients after THA and patient caregivers.

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Section: Resultsmentioning

confidence: 99%

Process of Posthospital Care Involving Telemedicine Solutions for Patients after Total Hip Arthroplasty

Kamecka

Rybarczyk-Szwajkowska

Staszewska

et al. 2021

IJERPH

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“…The 13 studies included in the present scoping review were published between 2003 and 2021, with one of the articles published in 2003 [ 14 ], one in 2005 [ 7 ], one in 2008 [ 15 ], two in 2011 [ 16 , 17 ], one in 2012 [ 18 ], one in 2018 [ 19 ], one in 2019 [ 20 ], and five in 2020 [ 21 , 22 , 23 , 24 , 25 ].…”

Section: Resultsmentioning

confidence: 99%

“…Eleven articles are in English, although with various countries of origin, such as Canada [ 17 ], Sweden [ 14 ], Taiwan [ 7 ], Germany [ 16 ], Italy [ 19 ], the United Kingdom [ 18 ], China [ 21 , 23 ], Thailand [ 20 ], Denmark [ 22 ], the United States of America [ 24 ], and Portugal [ 25 ]. The French article originated in France [ 15 ], and the Portuguese article originated in Portugal [ 25 ] ( Table 2 ).…”

Section: Resultsmentioning

confidence: 99%

Educational Intervention in Rehabilitation to Improve Functional Capacity after Hip Arthroplasty: A Scoping Review

Nicolau

Mendes

Ciríaco

et al. 2022

JPM

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(1) Background: The prevalence of coxarthrosis associated with ageing is one of the main reasons for the increase in hip arthroplasty. Educational intervention in the pre- and postoperative period of hip arthroplasty can improve functionality and, consequently, quality of life. Therefore, we intend to map the educational interventions that improve the functional capacity of people undergoing hip arthroplasty on their rehabilitation process. (2) Methods: Scoping review. The search was carried out in the databases: CINAHL complete, MEDLINE Complete, Nursing and Allied Health Collection: Comprehensive, Cochrane Methodology Register, Library, Information Science and Technology Abstracts, MedcLatina, and Google Academic. We included studies that evaluated the implementation of educational rehabilitation interventions that enable the empowerment and teaching of people undergoing hip arthroplasty. (3) Results: Thirteen studies were analysed that met the eligibility criteria and allowed the research question to be answered. Education in the perioperative period promotes training to perform rehabilitation exercises, improves the hospitalisation experience, increases participation in the rehabilitation process, allows early mobilisation, and increases the functional potential, thus enabling faster reintegration into society. (4) Conclusion: Early mobilisation plays a very important role in a person′s functional recovery, as well as in the prevention of thromboembolic complications. Exercise produces benefits in relation to physical function, namely, in improving strength, balance, facilitating functional activities, and preventing complications.

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“…[ 32 ] 25 2019 Remote Patient Monitoring Postop Feasibility – ROM – PROMs – exercise compliance RPM mobile application Pilot study — acquisition of continuous data Mehta et al . [ 33 ] 242 2020 Remote Patient Monitoring Postop rate of discharge to home and clinical outcomes after hip or knee arthroplasty. RPM mobile application No significant difference in the rate of discharge to home.…”

Section: Review and Discussionmentioning

confidence: 99%

“…A pilot study of 25 patients who underwent TKA has been validated, demonstrating the ability of this technology to passively collect data from each patient’s smartphone without interruptions [ 32 ]. A recent randomized clinical trial on 242 patients operated on hip or knee arthroplasty found no significant difference in the rate of discharge to home between the usual care arm and the remote patient monitoring arm, but a statistically significant reduction in rehospitalization rate in the remote patient monitoring arm [ 33 ].…”

Section: Review and Discussionmentioning

confidence: 99%

Artificial intelligence in knee arthroplasty: current concept of the available clinical applications

et al. 2022

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Background Artificial intelligence (AI) is defined as the study of algorithms that allow machines to reason and perform cognitive functions such as problem-solving, objects, images, word recognition, and decision-making. This study aimed to review the published articles and the comprehensive clinical relevance of AI-based tools used before, during, and after knee arthroplasty. Methods The search was conducted through PubMed, EMBASE, and MEDLINE databases from 2000 to 2021 using the 2009 Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocol (PRISMA). Results A total of 731 potential articles were reviewed, and 132 were included based on the inclusion criteria and exclusion criteria. Some steps of the knee arthroplasty procedure were assisted and improved by using AI-based tools. Before surgery, machine learning was used to aid surgeons in optimizing decision-making. During surgery, the robotic-assisted systems improved the accuracy of knee alignment, implant positioning, and ligamentous balance. After surgery, remote patient monitoring platforms helped to capture patients’ functional data. Conclusion In knee arthroplasty, the AI-based tools improve the decision-making process, surgical planning, accuracy, and repeatability of surgical procedures.

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Effect of Remote Monitoring on Discharge to Home, Return to Activity, and Rehospitalization After Hip and Knee Arthroplasty

Cited by 61 publications

References 35 publications

Process of Posthospital Care Involving Telemedicine Solutions for Patients after Total Hip Arthroplasty

Process of Posthospital Care Involving Telemedicine Solutions for Patients after Total Hip Arthroplasty

Educational Intervention in Rehabilitation to Improve Functional Capacity after Hip Arthroplasty: A Scoping Review

Artificial intelligence in knee arthroplasty: current concept of the available clinical applications

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