The Effect of Interprofessional Rounds on Length of Stay and Discharge Destination for Patients Who Have Had Lower Extremity Total Joint Replacements

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Abstract

Purpose:

To determine whether inclusion of interprofessional rounds (IPR) during hospitalization affects patient length of stay and discharge destination (eg, home and skilled nursing facility) following total hip or knee arthroplasty.

Methods:

A retrospective medical record review was conducted for 300 patients who underwent a total hip arthroplasty or a total knee arthroplasty. These patients were categorized into groups based on whether IPRs were received or not received (NR) between the dates of January 2011 and February 2013. Patient demographics and functional outcomes, length of hospital stay, and discharge destination were analyzed for each group.

Results:

Length of stay was shorter for patients who received IPR (n = 150) compared with those who did not (NR) (n = 150), P < .001. For functional outcomes, ambulation distance was significantly longer for patients in the IPR group. A significant difference was not found between the groups and discharge destination.

Conclusions:

The inclusion of IPRs may have a positive effect on decreasing the length of stay in the hospital and on ambulation distance for patients who have had a total hip arthroplasty or a total knee arthroplasty. Further studies are recommended to further investigate the benefits of including IPRs in other patient populations.

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