Poster Sessions - 2018 Research Day

Event Title

Factors Affecting Length of Hospital Stay and Discharge Destination in a 68-Year-Old Female Following Unilateral Total Knee Arthroplasty: A Case Report.

Location

Hall of Governors

Start Date

4-6-2018 4:00 PM

End Date

4-6-2018 5:30 PM

Abstract

Background/Purpose: Approximately 4.0 million adults in the United States are living with a total knee replacement. Many patient-related factors such as age, race, BMI, comorbidities, and prior level of function are known to influence functional outcomes and discharge destination following total knee arthroplasty (TKA) surgery, however, little research has been done on the specific factors that influence length of hospital stay and discharge to the home environment.

Case Description: The patient was a 68-year-old African American female who presented to acute care physical therapy in a hospital setting, the day after she had undergone a left total knee arthroplasty.

Outcomes: The patient attended a total of 5 physical therapy sessions over the course of 3 days following her surgery. She was discharged home on her fourth day of hospitalization, having met her functional goals of achieving modified independence in bed mobility, transfers, and ambulation, rendering her safe for return to her home environment.

Discussion: The early initiation of rehabilitation and the patient’s lack of significant comorbidities likely contributed to her quick functional improvements and discharge to her home environment. This patient’s outcomes suggest that comorbidities play a larger role than race in predicting discharge destination following hospitalization in patients who underwent a TKA. Further research can help determine the specific weight these factors carry in determining length of hospital stay, discharge destination, and functional outcomes after a TKA

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Apr 6th, 4:00 PM Apr 6th, 5:30 PM

Factors Affecting Length of Hospital Stay and Discharge Destination in a 68-Year-Old Female Following Unilateral Total Knee Arthroplasty: A Case Report.

Hall of Governors

Background/Purpose: Approximately 4.0 million adults in the United States are living with a total knee replacement. Many patient-related factors such as age, race, BMI, comorbidities, and prior level of function are known to influence functional outcomes and discharge destination following total knee arthroplasty (TKA) surgery, however, little research has been done on the specific factors that influence length of hospital stay and discharge to the home environment.

Case Description: The patient was a 68-year-old African American female who presented to acute care physical therapy in a hospital setting, the day after she had undergone a left total knee arthroplasty.

Outcomes: The patient attended a total of 5 physical therapy sessions over the course of 3 days following her surgery. She was discharged home on her fourth day of hospitalization, having met her functional goals of achieving modified independence in bed mobility, transfers, and ambulation, rendering her safe for return to her home environment.

Discussion: The early initiation of rehabilitation and the patient’s lack of significant comorbidities likely contributed to her quick functional improvements and discharge to her home environment. This patient’s outcomes suggest that comorbidities play a larger role than race in predicting discharge destination following hospitalization in patients who underwent a TKA. Further research can help determine the specific weight these factors carry in determining length of hospital stay, discharge destination, and functional outcomes after a TKA