Two hundred fifty-five male and female primary THA patients and 147 male and female revision THA patients.
Intervention
Interdisciplinary inpatient rehabilitation.
Main Outcome Measures
Length of stay (LOS), FIM instrument score and FIM motor score components, hospital charges, and discharge disposition location.
Results
FIM scores improved from admission to discharge by 29.7 and 27.9 points for the primary THA and revision THA groups, respectively (P<.05). LOS was shorter for primary THA patients compared with revision THA patients (10.0d vs 11.5d, P<.05). FIM efficiency (ΔFIM/LOS) was greater for primary THA compared with revision THA (3.4 and 2.7 points/day, P<.05). Total rehabilitation hospital charges were $11,421 and $13,707 for the primary and revision THA groups, respectively, with the mechanical and infection revision THAs incurring the greatest charges ($14,596 and $15,386, respectively; P<.001). Compared with primary THA, revision THA patients were twice as likely to be discharged to locations other than home.
Conclusions
FIM score improvement was lower and LOS and hospital charges were greater in revision THA than in primary THA after rehabilitation. Infection revision THA patients gained less functional independence and were discharged home less often than mechanical or pain revision THA patients; finally, infection and mechanical revision THA accrued the highest hospital charges.
aDepartment of Physical Medicine and Rehabilitation, University of Virginia Health System, Charlottesville, VA
bCenter for the Study of Complementary and Alternative Therapies, University of Virginia Health System, Charlottesville, VA
Reprint requests to Kevin R. Vincent, MD, PhD, Dept of Physical Medicine and Rehabilitation, University of Virginia, PO Box 801004, Charlottesville, VA 22908-1004
Supported in part by the National Center for Complementary and Alternative Medicine, National Institutes of Health (grant no. T32-AT00052) and by the American Geriatrics Society (Jahnigen Career Development Grant).
No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the author(s) or upon any organization with which the author(s) is/are associated.
ABSTRACT