Early recovery trajectories after fast-track primary total hip arthroplasty: the role of patient characteristics
DOI:
https://doi.org/10.1080/17453674.2018.1519095Abstract
Background and purpose — Little is known about heterogeneity in early recovery after primary total hip arthroplasty (THA). Therefore, we characterized subgroups of patients according to their hip function trajectory during the first 6 weeks after THA in a fast-track setting. Patients and methods — 94 patients (median age 65 years [41–82], 56 women) from a single hospital participated in a diary study. Patients recorded their severity of hip problems (Oxford Hip Score, OHS) weekly for 6 weeks after THA. Latent class growth modelling (LCGM) was used to identify patients with the same hip function trajectory and to compare these subgroups on patient characteristics. Results — LCGM revealed a fast (n = 17), an average (n = 53), and a slow (n = 24) recovery subgroup. Subgroups differed on the estimated weekly growth rate during the first 2 weeks (fast: 9.5; average: 5.3; slow: 2.7), with fewer differences between groups in the last 4 weeks (fast: 0.90; average: 2.0; slow: 1.7). Patients in the slow recovery group could be characterized as women of older age (mean age =69) who rated their health as lower preoperatively, needed more assistance during recovery, and were less satisfied with the outcomes of the surgery. Interpretation — We identified distinct recovery trajectories in the first 6 weeks after fast-track primary THA which were associated with patient characteristics.Downloads
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Published
2018-11-02
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Porsius, J. T., Mathijssen, N. M. C., Klapwijk-Van Heijningen, L. C. M., Van Egmond, J. C., Melles, M., & Vehmeijer, S. B. W. (2018). Early recovery trajectories after fast-track primary total hip arthroplasty: the role of patient characteristics. Acta Orthopaedica, 89(6), 597–602. https://doi.org/10.1080/17453674.2018.1519095
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Copyright (c) 2018 Jarry T Porsius, Nina M C Mathijssen, Lisette C M Klapwijk-Van Heijningen, Jeroen C Van Egmond, Marijke Melles, Stephan B W Vehmeijer
This work is licensed under a Creative Commons Attribution 4.0 International License.
Acta Orthopaedica (Scandinavica) content is available freely online as from volume 1, 1930. The journal owner owns the copyright for all material published until volume 80, 2009. As of June 2009, the journal has however been published fully Open Access, meaning the authors retain copyright to their work. As of June 2009, articles have been published under CC-BY-NC or CC-BY licenses, unless otherwise specified.