Journal article

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

MM Dowsey, ML Kilgour, NM Santamaria, PFM Choong

The Medical Journal of Australia | AUSTRALASIAN MED PUBL CO LTD | Published : 1999

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; matc..

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