Early mobilization after total hip or knee arthroplasty: a substudy of the POWER.2 study

Ripoll.s-Melchor, J.; Aldecoa, C.S.; Fern.índez-Garc.¡a, R.; Varela Duran, Marina; Aracil-Escoda, N.; Garc.¡a-Rodr.¡guez, D.; Cabezudo-de-la-Muela, L.; Hormaechea-Bolado, L.; Nacarino-Alcorta, B.; Hoffmann, R.; Lorente, J.V.; Ram.¡rez-Rodr.¡guez, J.M.; Abad-Motos, A.

Early mobilization after total hip or knee arthroplasty: a substudy of the POWER.2 study

Background: Early mobilization after surgery is a cornerstone of the Enhanced Recovery After Surgery (ERAS) programs in total hip arthroplasty (THA) or total knee arthroplasty (TKA). Our goal was to determine the time to mobilization after this surgery and the factors associated with early mobilizat...

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Detalhes bibliográficos
Autores:	Ripoll.s-Melchor, J., Aldecoa, C.S., Fern.índez-Garc.¡a, R., Varela Duran, Marina, Aracil-Escoda, N., Garc.¡a-Rodr.¡guez, D., Cabezudo-de-la-Muela, L., Hormaechea-Bolado, L., Nacarino-Alcorta, B., Hoffmann, R., Lorente, J.V., Ram.¡rez-Rodr.¡guez, J.M., Abad-Motos, A.
Formato:	artículo
Fecha de publicación:	2023
País:	España
Recursos:	Servizo Galego de Saúde (SERGAS)
Repositorio:	RUNA. Repositorio da Consellería de Sanidade e Sergas
OAI Identifier:	oai:runa.sergas.gal:20.500.11940/21379
Acesso em linha:	https://portalcientifico.sergas.gal//documentos/61ff08d413638e1cfc2794b0 http://hdl.handle.net/20.500.11940/21379
Access Level:	acceso abierto
Palavra-chave:	Humans Arthroplasty, Replacement, Hip Arthroplasty, Replacement, Knee Early Ambulation Hemoglobins Length of Stay Postoperative Complications Prospective Studies AS Pontevedra CHUP

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spelling	Early mobilization after total hip or knee arthroplasty: a substudy of the POWER.2 studyRipoll.s-Melchor, J.Aldecoa, C.S.Fern.índez-Garc.¡a, R.Varela Duran, MarinaAracil-Escoda, N.Garc.¡a-Rodr.¡guez, D.Cabezudo-de-la-Muela, L.Hormaechea-Bolado, L.Nacarino-Alcorta, B.Hoffmann, R.Lorente, J.V.Ram.¡rez-Rodr.¡guez, J.M.Abad-Motos, A.HumansArthroplasty, Replacement, HipArthroplasty, Replacement, KneeEarly AmbulationHemoglobinsLength of StayPostoperative ComplicationsProspective StudiesAS PontevedraCHUPBackground: Early mobilization after surgery is a cornerstone of the Enhanced Recovery After Surgery (ERAS) programs in total hip arthroplasty (THA) or total knee arthroplasty (TKA). Our goal was to determine the time to mobilization after this surgery and the factors associated with early mobilization. Methods: This was a predefined substudy of the POWER.2 study, a prospective cohort study conducted in patients undergoing THA and TKA at 131 Spanish hospitals. The primary outcome was the time until mobilization after surgery as well as determining those perioperative factors associated with early mobilization after surgery. Results: A total of 6093 patients were included. The median time to achieve mobilization after the end of the surgery was 24.áhours [16.Çô30]. 4,222 (69.3%) patients moved in.ëñ 24.áhours after surgery. Local anesthesia [OR.á=.á0.80 (95% confidence interval [CI]: 0.72.Çô0.90); p.á=.á0.001], surgery performed in a self-declared ERAS center [OR = 0.57 (95% CI: 0.55.Çô0.60); p.á<.á0.001], mean adherence to ERAS items [OR.á=.á0.93 (95% CI: 0.92.Çô0.93); p.á<.á0.001], and preoperative hemoglobin [OR.á=.á0.97 (95% CI: 0.96.Çô0.98); p.á<.á0.001] were associated with shorter time to mobilization. Conclusions: Most THA and TKA patients mobilize in the first postoperative day, early time to mobilization was associated with the compliance with ERAS protocols, preoperative hemoglobin, and local anesthesia, and with the absence of a urinary catheter, surgical drains, epidural analgesia, and postoperative complications. The perioperative elements that are associated with early mobilization are mostly modifiable, so there is room for improvement.2023info:eu-repo/semantics/articlehttps://portalcientifico.sergas.gal//documentos/61ff08d413638e1cfc2794b0http://hdl.handle.net/20.500.11940/21379reponame:RUNA. Repositorio da Consellería de Sanidade e Sergasinstname:Servizo Galego de Saúde (SERGAS)Ingléshttps://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:runa.sergas.gal:20.500.11940/213792026-06-12T08:40:47Z
dc.title.none.fl_str_mv	Early mobilization after total hip or knee arthroplasty: a substudy of the POWER.2 study
title	Early mobilization after total hip or knee arthroplasty: a substudy of the POWER.2 study
spellingShingle	Early mobilization after total hip or knee arthroplasty: a substudy of the POWER.2 study Ripoll.s-Melchor, J. Humans Arthroplasty, Replacement, Hip Arthroplasty, Replacement, Knee Early Ambulation Hemoglobins Length of Stay Postoperative Complications Prospective Studies AS Pontevedra CHUP
title_short	Early mobilization after total hip or knee arthroplasty: a substudy of the POWER.2 study
title_full	Early mobilization after total hip or knee arthroplasty: a substudy of the POWER.2 study
title_fullStr	Early mobilization after total hip or knee arthroplasty: a substudy of the POWER.2 study
title_full_unstemmed	Early mobilization after total hip or knee arthroplasty: a substudy of the POWER.2 study
title_sort	Early mobilization after total hip or knee arthroplasty: a substudy of the POWER.2 study
dc.creator.none.fl_str_mv	Ripoll.s-Melchor, J. Aldecoa, C.S. Fern.índez-Garc.¡a, R. Varela Duran, Marina Aracil-Escoda, N. Garc.¡a-Rodr.¡guez, D. Cabezudo-de-la-Muela, L. Hormaechea-Bolado, L. Nacarino-Alcorta, B. Hoffmann, R. Lorente, J.V. Ram.¡rez-Rodr.¡guez, J.M. Abad-Motos, A.
author	Ripoll.s-Melchor, J.
author_facet	Ripoll.s-Melchor, J. Aldecoa, C.S. Fern.índez-Garc.¡a, R. Varela Duran, Marina Aracil-Escoda, N. Garc.¡a-Rodr.¡guez, D. Cabezudo-de-la-Muela, L. Hormaechea-Bolado, L. Nacarino-Alcorta, B. Hoffmann, R. Lorente, J.V. Ram.¡rez-Rodr.¡guez, J.M. Abad-Motos, A.
author_role	author
author2	Aldecoa, C.S. Fern.índez-Garc.¡a, R. Varela Duran, Marina Aracil-Escoda, N. Garc.¡a-Rodr.¡guez, D. Cabezudo-de-la-Muela, L. Hormaechea-Bolado, L. Nacarino-Alcorta, B. Hoffmann, R. Lorente, J.V. Ram.¡rez-Rodr.¡guez, J.M. Abad-Motos, A.
author2_role	author author author author author author author author author author author author
dc.subject.none.fl_str_mv	Humans Arthroplasty, Replacement, Hip Arthroplasty, Replacement, Knee Early Ambulation Hemoglobins Length of Stay Postoperative Complications Prospective Studies AS Pontevedra CHUP
topic	Humans Arthroplasty, Replacement, Hip Arthroplasty, Replacement, Knee Early Ambulation Hemoglobins Length of Stay Postoperative Complications Prospective Studies AS Pontevedra CHUP
description	Background: Early mobilization after surgery is a cornerstone of the Enhanced Recovery After Surgery (ERAS) programs in total hip arthroplasty (THA) or total knee arthroplasty (TKA). Our goal was to determine the time to mobilization after this surgery and the factors associated with early mobilization. Methods: This was a predefined substudy of the POWER.2 study, a prospective cohort study conducted in patients undergoing THA and TKA at 131 Spanish hospitals. The primary outcome was the time until mobilization after surgery as well as determining those perioperative factors associated with early mobilization after surgery. Results: A total of 6093 patients were included. The median time to achieve mobilization after the end of the surgery was 24.áhours [16.Çô30]. 4,222 (69.3%) patients moved in.ëñ 24.áhours after surgery. Local anesthesia [OR.á=.á0.80 (95% confidence interval [CI]: 0.72.Çô0.90); p.á=.á0.001], surgery performed in a self-declared ERAS center [OR = 0.57 (95% CI: 0.55.Çô0.60); p.á<.á0.001], mean adherence to ERAS items [OR.á=.á0.93 (95% CI: 0.92.Çô0.93); p.á<.á0.001], and preoperative hemoglobin [OR.á=.á0.97 (95% CI: 0.96.Çô0.98); p.á<.á0.001] were associated with shorter time to mobilization. Conclusions: Most THA and TKA patients mobilize in the first postoperative day, early time to mobilization was associated with the compliance with ERAS protocols, preoperative hemoglobin, and local anesthesia, and with the absence of a urinary catheter, surgical drains, epidural analgesia, and postoperative complications. The perioperative elements that are associated with early mobilization are mostly modifiable, so there is room for improvement.
publishDate	2023
dc.date.none.fl_str_mv	2023
dc.type.none.fl_str_mv	info:eu-repo/semantics/article
format	article
dc.identifier.none.fl_str_mv	https://portalcientifico.sergas.gal//documentos/61ff08d413638e1cfc2794b0 http://hdl.handle.net/20.500.11940/21379
url	https://portalcientifico.sergas.gal//documentos/61ff08d413638e1cfc2794b0 http://hdl.handle.net/20.500.11940/21379
dc.language.none.fl_str_mv	Inglés
language_invalid_str_mv	Inglés
dc.rights.none.fl_str_mv	https://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess
rights_invalid_str_mv	https://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv	openAccess
dc.source.none.fl_str_mv	reponame:RUNA. Repositorio da Consellería de Sanidade e Sergas instname:Servizo Galego de Saúde (SERGAS)
instname_str	Servizo Galego de Saúde (SERGAS)
reponame_str	RUNA. Repositorio da Consellería de Sanidade e Sergas
collection	RUNA. Repositorio da Consellería de Sanidade e Sergas
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score	15,811543

Early mobilization after total hip or knee arthroplasty: a substudy of the POWER.2 study

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