133 259

Cited 0 times in

Establishment of a qualified integrated care system after total knee arthroplasty as a role of regional rheumatoid and degenerative arthritis centers

Authors
 Eun Young Han  ;  Sang Rim Kim  ;  Kye Hee Cho  ;  Sang Hee Im 
Citation
 BMC GERIATRICS, Vol.22(1) : 606, 2022-07 
Journal Title
BMC GERIATRICS
Issue Date
2022-07
MeSH
Aged ; Arthroplasty, Replacement, Knee* / rehabilitation ; Delivery of Health Care, Integrated* ; Female ; Humans ; Male ; Obesity ; Osteoarthritis, Knee* / epidemiology ; Osteoarthritis, Knee* / surgery ; Retrospective Studies ; Treatment Outcome
Keywords
Aged ; Arthroplasty ; Knee ; Osteoarthritis ; Rehabilitation
Abstract
Background: The geriatric population and advanced knee osteoarthritis are rapidly increasing in Korea, and the socioeconomic burden of total knee arthroplasty (TKA) is increasing. This study aimed to analyze the demographic, clinical and socioeconomic characteristics of patients who underwent TKA and to differentiate the factors affecting participation in inpatient-intensive rehabilitation programs after TKA in the Jeju regional rheumatoid and degenerative arthritis center established by the government.

Methods: This retrospective cohort study included 845 patients (735 females; 72.0 ± 5.8 years) diagnosed with primary osteoarthritis (OA) of the knee who underwent elective unilateral primary TKA between January 2013 and June 2016. Demographic, clinical, and socioeconomic characteristics, including age, body mass index, obesity, length of stay, OA severity, underlying disease, education level, occupation, and location of residence were reviewed. Patients were allocated to the TKA-only group (home discharge) and to the TKA + rehab group (participation in post-TKA rehabilitation). The variables were analyzed and compared before and after the establishment of the center and according to participation in intensive rehabilitation.

Results: Patients who underwent TKA were mostly female, in the 60 s, and had a high prevalence of comorbidities and obesity. After the rehabilitation center's establishment, the intensive post-TKA participation increased profoundly from 3% to 59.2%. Participants after the center establishment had lower mean BMI and a higher proportion of K-L grade 4 compared to those before the center establishment. The location of residence was the only factor differentiating the participation in the intensive rehabilitation.

Conclusion: The regional rheumatoid and degenerative arthritis center was appropriate to satisfy the high unmet need for participating in the intensive rehabilitation after TKA and to execute the qualified integrated post-TKA care system. Policy support should ensure the early rehabilitation and a qualified integrated care system and prepare for the increased burden of revision. Future longitudinal studies should be conducted to assess the long-term effect of the integrated post-TKA rehabilitation program on functional outcomes and patient survivorship free from revision.
Files in This Item:
T202202992.pdf Download
DOI
10.1186/s12877-022-03277-z
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실) > 1. Journal Papers
Yonsei Authors
Im, Sang Hee(임상희) ORCID logo https://orcid.org/0000-0001-5128-5526
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/189565
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse

Links