Application of a comprehensive clinical care pathway in patients undergoing total hip arthroplasty

Abstract

Introduction

This study aims to design a comprehensive management plan for patients undergoing hip replacement surgery to determine whether it can reduce hospitalization days, lower hospitalization costs, reduce postoperative pain, and improve joint function.

Methods

We searched PubMed, Web of Science, Cochrane Library, China Knowledge Network, Wanfang Database, Wipu Database, and China Biomedical Literature Database to analyze the literature and draft the initial pathway based on clinical reality. The pathway was then refined through Delphi expert correspondence. In the validation phase, 126 patients were assigned to control and experimental groups. The pathway's effects were evaluated by assessing hospital stay duration, costs, joint function, kinesiophobia scores, highest postoperative pain scores, readiness for discharge, and satisfaction with follow-up.

Results

Patients using the pathway had shorter hospital stays and lower costs than controls. They also exhibited better postoperative kinesiophobia and joint function scores, and higher readiness for discharge and satisfaction with follow-up. However, no significant difference was observed in highest postoperative pain scores.

Conclusion

This pathway can reduce the length of hospital stay and costs for patients undergoing total hip arthroplasty. It also provides opportunities for early rehabilitation, improves postoperative joint function, reduces fear of movement, and enhances satisfaction with follow-up.