Telemedicine support shortens length of stay after fast-track hip replacement.
Source: Vesterby et al. 2017 - Pubmed ID: 28097941
Setting: Denmark, 1 university hospital
Study design:
RCT
Follow up: 1 year
Patient group:
Sample size:
Total: 73 (72)
IG: 36 (36)
CG: 37 (36)
Inclusion criteria:
- Fast-track total hip replacement (THR)
- < 60 km from hospital
Type of technology:
Video consultation (The Remote Rehabilitation and Support project)
- Data
- Radiographs
- 12 months follow-up data was obtained from the patients by post.
- Education
- Exercises
- Daily activities
- Recommendations
- Medications
Intervention:
Intervention: The telemedicine solution is a box for the TV set with a possibility for a video conference, including an audio and text explanations. 2 videoconferences in the first week. A visit by a physiotherapist in the first week.
Duration: 90 days
Add on:+
Control group: Usual care
Clinical effect:
- Length of stay↓
- HRQoL→
- Oxford hip score (OHS)→
- Timed up-and-go (TUG)→
- Anxiety (VAS)→
Patient safety:
- Phone calls from patients↓
- Extra visits to the hospital→
- Re-admissions→
Patient experiences/
Staff experiences:
Patient experience: NA
Staff experience: NA
Investment:
Equipment
- Multi-protocol label-switching (MPLS) network and another dedicated network
- Server
- Wi-fi router
Staff
- Computer scientists, ethnographers, and architects
Running:
Staff
- Physiotherapy
- Patient education
Organization: NA
Health care utilization: NA