A home visit program versus a non-home visit program in total knee replacement patients: a randomized controlled trial
Abstract Background The goals in total knee replacement (TKR) are pain relief, restore functions, and improve quality of life. Surgical outcomes were not related to patients’ satisfaction. Low 1-year WOMAC especially in the first 6 weeks and painful TKR related to patient dissatisfied. To improve sa...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2019-11-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13018-019-1412-6 |
| _version_ | 1818474762866786304 |
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| author | Bura Sindhupakorn Piya-on Numpaisal Suwittaya Thienpratharn Darawan Jomkoh |
| author_facet | Bura Sindhupakorn Piya-on Numpaisal Suwittaya Thienpratharn Darawan Jomkoh |
| author_sort | Bura Sindhupakorn |
| collection | DOAJ |
| description | Abstract Background The goals in total knee replacement (TKR) are pain relief, restore functions, and improve quality of life. Surgical outcomes were not related to patients’ satisfaction. Low 1-year WOMAC especially in the first 6 weeks and painful TKR related to patient dissatisfied. To improve satisfaction, we created the home visit program (TKR-H) after hospital discharge. INHOMESSS was the rationale for home visit activities. Methods We recruited 52 TKRs. Four TKRs were excluded. We used simple randomization for 24 patients as a home visit (TKR-H) and 24 patients as a non-home visit (TKR). Patients were evaluated by general demographics, pain intensity scores (VAS), range of motion (ROM), WOMAC, knee scores, and functional scores as a primary objective. A duration for gait aid independent and patient’s satisfaction score as secondary objective. The study was 6 weeks after surgery. Results TKR-H and TKR had significant differences in the mean of WOMAC score (88.29 ± 10.66 vs. 68.00 ± 12.47, respectively, P < 0.001), pain score (VAS) (6.25 ± 10.13 vs. 35.67 ± 22.05, respectively, P < 0.001), knee score (81.67 ± 10.08 vs. 68.38 ± 6.45, respectively, P < 0.001), functional score (77.83 ± 4.22 vs. 73.70 ± 7.48, respectively, P = 0.037), and range of motion (107.71 ± 8.47 vs. 98.17 ± 9.57, respectively, P = 0.001). The patient’s satisfaction score in TKR-H group (4.71 ± 0.46) was significantly higher than the TKR group (4.13 ± 0.45) (P < 0.001) and time to gait aid independent (2.75 ± 0.99 vs. 3.71 ± 1.23, respectively, P = 0.005). Conclusion Our TKR-H showed better clinical outcomes and satisfaction than non-home visit. The rationale in TKR-H improves satisfaction after total knee replacement. Trial registration TCTR20190514001. |
| first_indexed | 2024-04-14T04:40:40Z |
| format | Article |
| id | doaj.art-32a8ed26350444758e3878d8cbf88d04 |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-14T04:40:40Z |
| publishDate | 2019-11-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-32a8ed26350444758e3878d8cbf88d042022-12-22T02:11:40ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2019-11-011411710.1186/s13018-019-1412-6A home visit program versus a non-home visit program in total knee replacement patients: a randomized controlled trialBura Sindhupakorn0Piya-on Numpaisal1Suwittaya Thienpratharn2Darawan Jomkoh3School of orthopedic, Institute of medicine, Suranaree University of TechnologySchool of orthopedic, Institute of medicine, Suranaree University of TechnologySchool of orthopedic, Institute of medicine, Suranaree University of TechnologySchool of orthopedic, Institute of medicine, Suranaree University of TechnologyAbstract Background The goals in total knee replacement (TKR) are pain relief, restore functions, and improve quality of life. Surgical outcomes were not related to patients’ satisfaction. Low 1-year WOMAC especially in the first 6 weeks and painful TKR related to patient dissatisfied. To improve satisfaction, we created the home visit program (TKR-H) after hospital discharge. INHOMESSS was the rationale for home visit activities. Methods We recruited 52 TKRs. Four TKRs were excluded. We used simple randomization for 24 patients as a home visit (TKR-H) and 24 patients as a non-home visit (TKR). Patients were evaluated by general demographics, pain intensity scores (VAS), range of motion (ROM), WOMAC, knee scores, and functional scores as a primary objective. A duration for gait aid independent and patient’s satisfaction score as secondary objective. The study was 6 weeks after surgery. Results TKR-H and TKR had significant differences in the mean of WOMAC score (88.29 ± 10.66 vs. 68.00 ± 12.47, respectively, P < 0.001), pain score (VAS) (6.25 ± 10.13 vs. 35.67 ± 22.05, respectively, P < 0.001), knee score (81.67 ± 10.08 vs. 68.38 ± 6.45, respectively, P < 0.001), functional score (77.83 ± 4.22 vs. 73.70 ± 7.48, respectively, P = 0.037), and range of motion (107.71 ± 8.47 vs. 98.17 ± 9.57, respectively, P = 0.001). The patient’s satisfaction score in TKR-H group (4.71 ± 0.46) was significantly higher than the TKR group (4.13 ± 0.45) (P < 0.001) and time to gait aid independent (2.75 ± 0.99 vs. 3.71 ± 1.23, respectively, P = 0.005). Conclusion Our TKR-H showed better clinical outcomes and satisfaction than non-home visit. The rationale in TKR-H improves satisfaction after total knee replacement. Trial registration TCTR20190514001.https://doi.org/10.1186/s13018-019-1412-6Home visit programNon-home visit programTotal knee replacement |
| spellingShingle | Bura Sindhupakorn Piya-on Numpaisal Suwittaya Thienpratharn Darawan Jomkoh A home visit program versus a non-home visit program in total knee replacement patients: a randomized controlled trial Journal of Orthopaedic Surgery and Research Home visit program Non-home visit program Total knee replacement |
| title | A home visit program versus a non-home visit program in total knee replacement patients: a randomized controlled trial |
| title_full | A home visit program versus a non-home visit program in total knee replacement patients: a randomized controlled trial |
| title_fullStr | A home visit program versus a non-home visit program in total knee replacement patients: a randomized controlled trial |
| title_full_unstemmed | A home visit program versus a non-home visit program in total knee replacement patients: a randomized controlled trial |
| title_short | A home visit program versus a non-home visit program in total knee replacement patients: a randomized controlled trial |
| title_sort | home visit program versus a non home visit program in total knee replacement patients a randomized controlled trial |
| topic | Home visit program Non-home visit program Total knee replacement |
| url | https://doi.org/10.1186/s13018-019-1412-6 |
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