Article

OBJECTIVES: To examine the patterns of rehabilitation after elective and
nonelective hip arthroplasty and its association with outcomes over an episode of
postacute care. DESIGN: Data were obtained from a multisite prospective
observational cohort study and its companion follow-up study. Patterns of care
were measured by the combination of settings of care where hip arthroplasty
patients received rehabilitation therapy. Main outcome measure was motor portion
of the functional independence measure. RESULTS: Approximately 90% of hip
arthroplasty patients received rehabilitation care from more than one setting.
Eight patterns of care were identified in the follow-up period. Patterns of
subsequent care were driven more by initial setting than by etiology. Nonelective
hip arthroplasty patients had lower motor functional independence measure scores
and used more rehabilitation services than did elective hip arthroplasty
patients. Patterns of care were modest factors (accounted for only 7% of
variance) in predicting patient motor functional independence measure over an
episode of postacute care. CONCLUSIONS: Etiology of hip arthroplasty is
associated with amounts of rehabilitation care used and outcomes. After the
initial postacute rehabilitation setting, patients continued to receive
considerable amounts of therapy in various settings. It is important to look
beyond a single setting of care to an entire episode of care when examining
clinical outcomes.

Langue : ANGLAIS