Article

The aim of this study was to use the Risk Assessment and Predictor
Tool (RAPT) to evaluate the risk of complications in patients hospitalized after
total knee replacement (TKR) surgery. METHOD: The medical charts of 272 patients
who had TKR surgery for knee osteoarthritis (OA) were included in the study. The
presurgical RAPT score and Lequesne functional pain index score were determined
based on a thorough analysis of the medical charts. Complications that had an
impact on the vital prognosis or knee prosthesis outcomes were reported. Patients
were compared according to the RAPT and a relative risk of complications was
established. RESULTS: Only 12.2% of patients hospitalized in a Physical Medicine
and Rehabilitation (PM&R) center after their surgery could have been discharged
home directly after their initial hospital stay for TKR surgery (score RAPT more
than 9). These patients were mostly men and significantly younger. Their Lequesne
score was significantly lower by an average of at least two points. Their
relative risk of complications was 0.45 vs. 2.16 for patients who had a RAPT
score less than 6. CONCLUSION: Patients with a RAPT score more than 9 have a low
risk of complications. They should not systematically be admitted to a PM&R unit
after surgery. On the other hand, for patients with a RAPT score less than 6 a
hospital stay in a PM&R care center is justified after TKR surgery.
CI - Copyright A(c) 2011 Elsevier Masson SAS. All rights reserved.

Langue : ANGLAIS ; FRANCAIS