Norwich Enhanced Recovery Programme vs. non-enhanced recovery following hip and knee replacement: A matched-cohort study

Arshad, Homa, Royan, Saravanan, Smith, Toby, Barker, Lindsay, Chirodian, Nish and Wimhurst, James (2014) Norwich Enhanced Recovery Programme vs. non-enhanced recovery following hip and knee replacement: A matched-cohort study. International Journal of Orthopaedic and Trauma Nursing, 18. pp. 227-234. ISSN 1878-1292

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Abstract

This study compared the early clinical outcomes and safety of the Norwich Enhanced Recovery Programme (NERP) and a non-enhanced recovery programme following Total Hip Replacement (THR) and Total Knee Replacement (TKR). The NERP programme is a multi-componented nursing and multidisciplinary pre- and peri-operative recovery programme which harnesses elements of managing patient expectation with education, pain control and early intensive rehabilitation. This new programme was compared with an age- and gender-matched cohort who followed the recovery pathway provided prior to the NERP regime. A total of 192 patients were reviewed. The results indicated that for THR and TKR hospital length of stay and requirement for in-patient rehabilitation was significantly lower following the NERP regime (p < 0.01). There was no significant difference between the groups in peri-operative complications. These results provide encouraging findings that this nursing and multidisciplinary enhanced recovery following THR or TKR may provide a more efficient post-operative pathway restoring independence earlier to people compared to non-enhanced recovery.

Item Type: Article
Uncontrolled Keywords: knee,hip,arthroplasty,multidisciplinary rehabilitation,matched-cohort,accelerated recovery
Faculty \ School: Faculty of Medicine and Health Sciences > School of Health Sciences
Depositing User: Pure Connector
Date Deposited: 04 Nov 2014 12:44
Last Modified: 17 Mar 2020 20:15
URI: https://ueaeprints.uea.ac.uk/id/eprint/50612
DOI: 10.1016/j.ijotn.2013.12.005

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