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Early mobilization after total hip or knee arthroplasty: a substudy of the POWER. 2 study
Ripollés-Melchor, Javier; Aldecoa, César; Fernández-García, Raquel; Varela-Durán, Marina; Aracil-Escoda, Norma; García-Rodríguez, Daniel; Cabezudo-de-la-Muela, Lucia; Hormaechea-Bolado, Lucía; Nacarino-Alcorta, Beatriz; Hoffmann, Rolf; Lorente, Juan V; Ramírez-Rodríguez, José M; Abad-Motos, Ane.
Affiliation
  • Ripollés-Melchor, Javier; Infanta Leonor University Hospital. Department of Anesthesia and Perioperative Medicine. Madrid. ES
  • Aldecoa, César; Spanish Perioperative Audit and Research Network (REDGERM). Zaragoza. ES
  • Fernández-García, Raquel; Grupo Español de Rehabilitación Multimodal. Zaragoza. ES
  • Varela-Durán, Marina; Grupo Español de Rehabilitación Multimodal. Zaragoza. ES
  • Aracil-Escoda, Norma; Infanta Leonor University Hospital. Department of Anesthesia and Perioperative Medicine. Madrid. ES
  • García-Rodríguez, Daniel; Grupo Español de Rehabilitación Multimodal. Zaragoza. ES
  • Cabezudo-de-la-Muela, Lucia; Grupo Español de Rehabilitación Multimodal. Zaragoza. ES
  • Hormaechea-Bolado, Lucía; Grupo Español de Rehabilitación Multimodal. Zaragoza. ES
  • Nacarino-Alcorta, Beatriz; Grupo Español de Rehabilitación Multimodal. Zaragoza. ES
  • Hoffmann, Rolf; Grupo Español de Rehabilitación Multimodal. Zaragoza. ES
  • Lorente, Juan V; Grupo Español de Rehabilitación Multimodal. Zaragoza. ES
  • Ramírez-Rodríguez, José M; Spanish Perioperative Audit and Research Network (REDGERM). Zaragoza. ES
  • Abad-Motos, Ane; Infanta Leonor University Hospital. Department of Anesthesia and Perioperative Medicine. Madrid. ES
Braz. J. Anesth. (Impr.) ; 73(1): 54-71, Jan.-Feb. 2023. tab, graf
Article in English | LILACS | ID: biblio-1420654
Responsible library: BR891.2
ABSTRACT
Abstract Background Early mobilization after surgery is a cornerstone of the Enhanced Recovery After Surgery (ERAS) programs in total hip arthroplasty (THA) or total knee arthroplasty (TKA). Our goal was to determine the time to mobilization after this surgery and the factors associated with early mobilization. Methods This was a predefined substudy of the POWER.2 study, a prospective cohort study conducted in patients undergoing THA and TKA at 131 Spanish hospitals. The primary outcome was the time until mobilization after surgery as well as determining those perioperative factors associated with early mobilization after surgery. Results A total of 6093 patients were included. The median time to achieve mobilization after the end of the surgery was 24 hours [16-30]. 4,222 (69.3%) patients moved in ≤ 24 hours after surgery. Local anesthesia [OR = 0.80 (95% confidence interval [CI] 0.72-0.90); p= 0.001], surgery performed in a self-declared ERAS center [OR = 0.57 (95% CI 0.55-0.60); p< 0.001], mean adherence to ERAS items [OR = 0.93 (95% CI 0.92-0.93); p< 0.001], and preoperative hemoglobin [OR = 0.97 (95% CI 0.96-0.98); p< 0.001] were associated with shorter time to mobilization. Conclusions Most THA and TKA patients mobilize in the first postoperative day, early time to mobilization was associated with the compliance with ERAS protocols, preoperative hemoglobin, and local anesthesia, and with the absence of a urinary catheter, surgical drains, epidural analgesia, and postoperative complications. The perioperative elements that are associated with early mobilization are mostly modifiable, so there is room for improvement.
Subject(s)


Full text: Available Collection: International databases Database: LILACS Main subject: Arthroplasty, Replacement, Hip / Arthroplasty, Replacement, Knee / Early Ambulation Type of study: Etiology study / Observational study / Risk factors Limits: Humans Language: English Journal: Braz. J. Anesth. (Impr.) Year: 2023 Document type: Article Affiliation country: Spain Institution/Affiliation country: Grupo Español de Rehabilitación Multimodal/ES / Infanta Leonor University Hospital/ES / Spanish Perioperative Audit and Research Network (REDGERM)/ES

Full text: Available Collection: International databases Database: LILACS Main subject: Arthroplasty, Replacement, Hip / Arthroplasty, Replacement, Knee / Early Ambulation Type of study: Etiology study / Observational study / Risk factors Limits: Humans Language: English Journal: Braz. J. Anesth. (Impr.) Year: 2023 Document type: Article Affiliation country: Spain Institution/Affiliation country: Grupo Español de Rehabilitación Multimodal/ES / Infanta Leonor University Hospital/ES / Spanish Perioperative Audit and Research Network (REDGERM)/ES
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