rss
Evid Based Nurs 2:123 doi:10.1136/ebn.2.4.123
  • Treatment

A clinical pathway reduced length of stay, time to ambulation, and complications after hip and knee arthroplasty


 
 Question Does the use of a clinical pathway improve patient outcomes after hip or knee arthroplasty?

Design

Randomised, unblinded, controlled trial with ≥3 months follow up.

Setting

A tertiary referral hospital in Melbourne, Victoria, Australia.

Patients

175 patients who had hip or knee arthroplasty between January 1996 and December 1997. 12 patients (6.9%) were excluded after randomisation because they were having revision arthroplasty, simultaneous bilateral joint arthroplasty, arthroplasty for acute trauma, or complex tumour surgery. The remaining 163 patients (mean age 66 y, 66% women) completed ≥3 months of follow up.

Intervention

92 patients were allocated to the clinical pathway group and 71 were allocated to the control group. Patients in the clinical pathway group received “proactive” treatment whereby specific daily goals were set for the patient and the healthcare team. A written protocol identified milestones to be achieved, tests …

No Related Web Pages

Free Sample

This recent issue is free to all users to allow everyone the opportunity to see the full scope and typical content of EBN.
View free sample issue >>

EBN Journal Chat

The EBN Journal Chat offers readers the opportunity to participate in discussion about research articles and commentaries from Evidence Based Nursing (EBN).

How to participate >>

Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.

Navigate This Article