Format

Send to:

Choose Destination
See comment in PubMed Commons below
Med J Aust. 1999 Jan 18;170(2):59-62.

Clinical pathways in hip and knee arthroplasty: a prospective randomised controlled study.

Author information

  • 1Department of Orthopaedics, St Vincent's Hospital, Melbourne, VIC.

Abstract

OBJECTIVE:

To ascertain the effectiveness of clinical pathways for improving patient outcomes and decreasing lengths of stay after hip and knee arthroplasty.

DESIGN AND SETTING:

Twelve-month randomised prospective trial comparing patients treated through a clinical pathway with those treated by an established standard of care at a single tertiary referral university hospital.

PARTICIPANTS:

163 patients (56 men and 107 women; mean age, 66 years) undergoing primary hip or knee arthroplasty, and randomly allocated to the clinical pathway (92 patients) and the control group (71 patients).

MAIN OUTCOME MEASURES:

Time to sitting out of bed and walking; rates of complications and readmissions; match to planned discharge destination; and length of hospital stay.

RESULTS:

Clinical pathway patients had a shorter mean length of stay (P = 0.011), earlier ambulation (P = 0.001), a lower readmission rate (P = 0.06) and closer matching of discharge destination. There were beneficial effects of attending patient seminars and preadmission clinics for both pathway and control patients.

CONCLUSION:

Clinical pathway is an effective method of improving patient outcomes and decreasing length of stay following hip and knee arthroplasty.

Comment in

PMID:
10026684
[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Loading ...
    Write to the Help Desk