A patient's perception of their hospital stay influences the functional outcome and satisfaction of total knee arthroplasty.

Abstract:

INTRODUCTION:To assess whether patient satisfaction with their hospital stay influences the early outcome of total knee arthroplasty (TKA). METHODS:During a 5-year period patients undergoing primary TKA at the study centre had prospective outcome data recorded (n = 2264). The Oxford knee score (OKS) and the short form (SF)-12 were recorded pre-operatively and 1 year post-operatively when satisfaction with their TKA was also assessed. Patient satisfaction with their hospital stay was also evaluated and their reasons for it were qualitatively documented. RESULTS:Decreasing level of satisfaction with their hospital stay was associated with a significantly worse post-operative OKS (p < 0.001) and SF-12 score (p < 0.001). Multivariable regression analysis confirmed that the patient's perceived level of satisfaction with their hospital stay was an independent predictor of change in the OKS (p < 0.001) and SF-12 score (p < 0.006) after adjusting for confounding variables. Patient satisfaction with their TKA was significantly influenced by their hospital experience, decreasing from 96% in those with an excellent experience to 42% in those with a poor experience. Food, staff/care, and the hospital environment were the most frequent reasons of why patients rated their hospital experience as fair or poor. CONCLUSION:A patient's perception of their inpatient hospital experience after surgery is an important modifiable predictor of early functional outcome and satisfaction with TKA.

authors

Clement ND,Macdonald D,Burnett R,Simpson AHRW,Howie CR

doi

10.1007/s00402-017-2661-7

subject

Has Abstract

pub_date

2017-05-01 00:00:00

pages

693-700

issue

5

eissn

0936-8051

issn

1434-3916

pii

10.1007/s00402-017-2661-7

journal_volume

137

pub_type

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