Key result
Pre-operative rehabilitation, nurse-led assessment, and physiotherapist education were not superior to standard pre-operative practices for reducing length of stay in total hip replacement patients.
Why the study?
Pre-operative rehabilitation effectively reduces length of stay, but little evidence exists regarding its influence on total hip replacement patients.
Does pre- and post-rehabilitation influence hospital length of stay and patient recovery following total hip replacement?
Systematic Review
Does pre- and post-rehabilitation influence hospital length of stay and patient recovery following total hip replacement?
There is currently a lack of evidence demonstrating that pre- and post-rehabilitation effectively reduces hospital length of stay for total hip replacement patients, though education clinics may improve patient satisfaction.
Standard pre-operative care suffices for total hip replacement length of stay; challenges routine adoption of enhanced rehabilitation and education protocols.
Pre-operative rehabilitation is an effective means of reducing Length of Stay (LoS), but little evidence is available on its influence on Total Hip Replacement (THR) patients. Hence, a review of UK-based experimental studies to evaluate the effect of physical therapy on LoS was performed. Subsequently, a narrative synthesis was employed to develop a three-round Delphi study targeting UK clinicians. The review and Delphi results showed that patients had higher satisfaction with education clinics, but nurse-led assessment and physiotherapist education were not superior to standard pre-operative practices. The Delphi highlighted the challenges and benefits of (p)rehabilitation and provided suggestions for THR best practices. In conclusion, the study shows that there is a lack of evidence on the effectiveness of (p)rehabilitation on LoS; further research is recommended into education, (p)rehabilitation and patient self-efficacy interventions to enhance THR patients' pathways.
No takes yet. Share an insight, caveat, or question.
Willis et al. (2025) conducted a systematic review in Total Hip Replacement (THR). Pre-operative rehabilitation and education vs. Standard pre-operative practices was evaluated on Length of Stay (LoS). Pre-operative rehabilitation, nurse-led assessment, and physiotherapist education were not superior to standard pre-operative practices for reducing length of stay in total hip replacement patients.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: