Article

OBJECTIVE: To assess the relevance of the RAPT (Risk Assessment and Prediction
Tool), among a cohort of patients undergoing total hip arthroplasty (THA).
METHOD: Prospective study of a cohort of patients evaluated before and after THA.
The difference between the postoperative orientation predicted by the RAPT and
the real one is assessed. Clinical, environmental and psychosocial criteria that
could significantly change the orientation are discussed. RESULTS: One hundred
and thirty-four patients (94 women and 40 men) were included.
The average age was
71.6 (+/-10) years. Primary hip osteoarthritis was the indication for surgery in
78% of cases. The average length of stay in the surgery ward was 10 (+/-3) days.
It was significantly higher for patients referred to a rehabilitation ward
(P<0.0001). Sixty-six percent of patients were referred to a rehabilitation ward
and 34% returned directly home. The average length of stay in rehabilitation ward
was 27 (+/-13) days. The validity of the RAPT as a help decision tool has been
confirmed. Thus, a low RAPT score was significantly associated with more frequent
referral to a rehabilitation ward, conversely, a high RAPT score is significantly
related to more frequent direct return to home. CONCLUSION: This study confirmed
the usefulness of the RAPT to help in patient orientation decision after total
hip arthroplasty. The patient preference remains the main variable for
orientation after THA. By the way, the patient preference must not be integrated
into the RAPT, but need to be collected and be discussed with the patient.
CI - Copyright (c) 2014 Elsevier Masson SAS. All rights reserved.

Langue : ANGLAIS ; FRANCAIS