The objective of this cross-sectional investigation is to describe a cohort of 275 status post joint replacement patients who received home health services from an orthopedic home health agency in St. Louis, Missouri. This study also aims to determine if these patients achieved statistically significant improvements in their functional mobility skills, pain, and emotional status. Demographic data were collected together with functional mobility elements from the Outcome and Assessment Information Set pertinent to the rehabilitation of status post joint replacement patients on admission and discharge from home care. Because of the limited nature of participant selection and convenience sampling, no correlations or trends were established among the data collected. However, this cross-sectional analysis validated the incidence of a patient subpopulation that is admitted directly to home care after undergoing joint replacement surgery and demonstrated that these patients achieved significant positive outcomes in functional measures.
Byrne, M.M., Souchek, J., Richardson, M., & Suarez-Almazor, M. (2006). Racial/ethnic differences in preferences for total knee replacement surgery. Journal of Clinical Epidemiology, 59(10), 1078-1086.
2.
Centers for Medicare and Medicaid Services. ( 2005). Medicare enrollment national trends 1966-2005. Retrieved January 5, 2007, from http://www.cms.hhs.gov/MedicareEnrpts/
3.
Centers for Medicare and Medicaid Services. ( 2005). Medicare program: Inpatient rehabilitation facility prospective payment system for FY 2006 (42 CFR Part 412). Baltimore : Author.
4.
Forrest, G.P., Roque, J.M., & Dawodu, S.T. (1999). Decreasing length of stay after total joint arthroplasty: Effect on referrals to rehabilitation units. Archives of Physical Medicine and Rehabilitation, 80(2), 192-194.
5.
Franklin, P.D., McLaughlin, J., Boisvert, C.B., Li, W., & Ayers, D.C. (2006). Pilot study of methods to document quantity and variation of independent patient exercise and activity after total knee arthroplasty . Journal of Arthroplasty, 6(Suppl. 2), 157-163.
6.
Haley, S.M., Coster, W.J., Andres, P.L., Ludlow, L.H., Ni, P., Bond, T.L., et al. (2004). Activity outcome measurement for postacute care. Medical Care, 42(Suppl. 1), 149-161.
7.
Hernandez-Vaquero, D., Fernandez-Carreira, J.M., Perez-Hernandez, D., Fernandez-Lombardia, J., & Garcia-Sandoval, M.A. (2006). Total knee arthroplasty in the elderly. Is there an age limit? Journal of Arthroplasty , 21(3), 358-361.
8.
Jain, N.B., Higgins, L.D., Ozumba, D., Guller, U., Cronin, M., Pietrobon, R., et al. (2005). Trends in epidemiology of knee arthroplasty in the United States, 1990-2000. Arthritis and Rheumatism , 52(12), 3928-3933.
9.
Kramer, J.F., Speechley, M., Bourne, R., Rorabeck, C., & Vaz, M. (2003). Comparison of clinic- and home-based rehabilitation programs after total knee arthroplasty. Clinical Orthopaedics and Related Research, 410, 225-234.
10.
Lingard, E.A., Berven, S., Katz, J.N., & Kinemax Outcomes Group. (2000 ). Management and care of patients undergoing total knee arthroplasty: Variations across different health care settings. Arthritis Care and Research, 13(3), 129-136.
11.
Linsell, L., Dawson, J., Zondervan, K., Rose, P., Carr, A., Randall, T., et al. (2005). Population survey comparing older adults with hip versus knee pain in primary care. British Journal of General Practice, 55(512), 192-198.
12.
Mahomed, N.N., Barret, J., Katz, J.N., Baron, J.A., Wright, J., & Losina, E. (2005). Epidemiology of total knee replacement in the United States Medicare population. Journal of Bone and Joint Surgery American Edition, 87(6), 1222-1228.
13.
Mahomed, N.N., Lau, J.T., Lin, M.K., Zdero, R., & Davey, J.R. (2004). Significant variation exists in home care services following total joint arthroplasty. Journal of Rheumatology , 31(5), 973-975.
14.
Meizer, D., Guralnik, J.M., & Brock, D. (2003). Prevalence and distribution of hip and knee joint replacements and hip implants in older Americans by the end of life. Aging Clinical and Experimental Research, 15(1), 60-66.
15.
Mitchell, C., Walker, J., Walters, S., Morgan, A.B., Binns, T., & Mathers, N. (2005). Costs and effectiveness of pre- and post-operative home physiotherapy for total knee replacement: Randomized controlled trial . Journal of Evaluation in Clinical Practice, 11(3), 283-292.
16.
National Center for Health Statistics. (2006 ). Health, United States, 2006 with chartbook on trends in the health of americans. Hyattsville, MD: Centers for Disease Control and Prevention.
17.
Showalter, A., Burger, S., & Salyer, J. (2000). Patients' and their spouses' needs after total joint arthroplasty: A pilot study. Orthopaedic Nursing, 19(1), 49-57, 62.
18.
Tribe, K.L., Lapsley, H.M., Cross, M.J., Courtenay, B.G., Brooks, P.M., & March, L.M. (2005). Selection of patients for inpatient rehabilitation or direct home discharge following total joint replacement surgery: A comparison of health status and out-of-pocket expenditure of patients undergoing hip and knee arthroplasty for osteoarthritis. Chronic Illness , 1(4), 289-302.
19.
U.S. Census Bureau. (2007). U.S. population clock. Retrieved January 5, 2007 from: http://factfinder.census.gov/home/saff/main.html?_lang=en.
20.
Vincent, H.K., Alfano, A.P., Lee, L., & Vincent, K.R. (2006). Sex and age effects on outcomes of total hip arthroplasty after inpatient rehabilitation. Archives of Physical Medicine and Rehabilitation, 87(4), 461-467.
21.
Walsh, M.B., & Herbold, J. (2006). Outcome after rehabilitation for total joint replacement at IRF and SNF: A case-controlled comparison. American Journal of Physical Medicine & Rehabilitation, 85(1), 1-5.
