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Regarding this perspective, in the last years, the attention has been focalized on patients' postoperative management, especially on the inpatient length of stay (LOS) after surgery, encouraging early discharge from hospitals and substitution with home-based alternatives whenever appropriate. The adoption of proper measures is required to correctly allocate resources with respect to the patient needs, avoiding disparities, and containing the costs sustained by the health care system. The socioeconomic burden of care for postoperative rehabilitation of TJA is an emerging widespread issue. In recent years, the demand for total knee arthroplasty (TKA) and total hip arthroplasty (THA) is growing rapidly.Īlthough these procedures are safe treatments for OA, the costs associated with them are substantial. Total joint arthroplasties (TJAs) are some of the most commonly performed elective orthopedic procedures for the management of osteoarthritis (OA). This is a level IV, systematic review of level III and IV study. Further studies confirming the predictive accuracy of RAPT at other institutions are needed as well as studies assessing the effect of using RAPT to identify patients for targeted interventions in terms of LOS, discharge disposition, clinical outcomes, and financial impact. In the intermediate risk category, a targeted intensive postoperative rehabilitation program has demonstrated good results in reducing the uncertain outcome.Īlthough contrarily to many of the other scores, the RAPT has been validated in multiple countries with relatively similar results between different institutions however, its validity has yet to be tested and adapted in every nation context. All analyzed studies demonstrated that RAPT could reduce LOS and accurately predict discharge disposition especially for high- and low-risk patients. Only original prospective or retrospective articles that analyze specifically the use of RAPT were included, whereas those concerned with other preoperative prediction tools or those only considering other aspects of recovery after joint replacements were excluded.Ī total of 27 references were retrieved, and 8 studies were selected. The databases of PubMed, Web of Sciences, Cochrane Library, and Pedro were searched for English studies on RAPT prediction capacity. The aim of this review is to describe its predictive ability, current utilization, and future prospects through the analysis of scientific literature.
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Our Recovery Support service can help you work towards future goals our Forward Connect community will connect you with a network of supportive, like-minded people and we also help people to find employment and housing.The Risk Assessment and Prediction Tool (RAPT) is an interesting instrument for predicting the discharge destination and length of stay (LOS) for patients after hip or knee arthroplasty. Our support doesn’t stop once you have finished your programme or workshop.
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That’s why we offer a range of different treatment options, from programmes that can support people to become completely abstinent to harm minimisation and advice on cutting down. We also know that no one person is the same. Many of our staff have personal experience of drug and alcohol issues themselves, so we understand what you’re going through. We provide friendly, non-judgemental support, no matter what substance you use or what you have gone through in the past. If you have a family member in prison that needs support for their substance misuse, they will need to put in an application to the drug and alcohol service in that prison, or ask their Personal Officer to do so on their behalf. Please note that we cannot accept referrals for our prison services from loved ones. We also support people in a number of prisons across England that want help to address issues with drugs or alcohol. Our residential rehab, The Bridges, is for men aged 18+ who want to become totally substance-free and make positive changes in their lives.
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We can normally help if you are aged 18+ and live in one of the areas we provide community services: currently, these are based in East Kent and Hull.