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Total hip replacement - College of Occupational Therapists

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Appendix 5: Evidence- based review tables<br />

Appendix 5: Evidence- based review tables<br />

Source Design and participants Intervention Outcomes Results Quality and comment<br />

Berend et al (2004) Retrospective study<br />

Aim: to examine outcomes for<br />

a study group who have<br />

undergone an enhanced<br />

recovery programme compared<br />

to a control group<br />

No details regarding recruitment<br />

or population characteristics<br />

Convenience sample comparing<br />

pre- programme (168 in the<br />

control group) and postprogramme<br />

(128 in the study<br />

group)<br />

United States <strong>of</strong> America.<br />

Enhanced recovery<br />

programme for total<br />

<strong>hip</strong> <strong>replacement</strong><br />

Details poor but<br />

programme appeared<br />

to include multimodal<br />

approach with preoperative<br />

and postoperative<br />

education<br />

and ‘early and<br />

aggressive<br />

rehabilitation’.<br />

Length <strong>of</strong> stay (LOS) and<br />

readmission rates<br />

Discharge location.<br />

• No statistically significant<br />

differences noted between groups<br />

for height, weight or age (p>0.05)<br />

• Length <strong>of</strong> stay was reduced<br />

significantly in the study group from<br />

4.04 days in 1997 (range 2–9 days,<br />

SD 1.1 days) to 2.66 days in 2003<br />

(range 1–7 days, SD 0.86, p

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