Martin Vesterby|Preben Ulrich Pedersen|Malene Laursen|Sigurd Mikkelsen|Jens Rolighed Larsen|Kjeld Søballe|Lene Bastrup Jørgensen
Telemedicine support shortens length of stay after fast-track hip replacement
Aarhus University|Aalborg University|Regionshospitalet Silkeborg|Regionshospitalet Silkeborg|Regionshospitalet Silkeborg|Aarhus University|Aarhus University Hospital|Aarhus University|Regionshospitalet Silkeborg|Aarhus University
background purpose telemedicine could allow patients discharged quickly surgery contribute improve fasttrack procedures without compromising quality patient safety functionality anxiety patientperceived parameters investigated whether using telemedicine support tms would permit hospital discharge 1 day without loss selfassessed quality life loss functionality increased anxiety increased rates readmission increased rates complications hip replacement patients methods performed randomized controlled trial involving 72 danish patients 1 region referred elective fasttrack total hip replacement august 2009 march 2011 654 screened eligibility half patients received telemedicine solution connected tv patients followed 1 year surgery results length stay reduced 21 days 95 ci 2023 11 day ci 0914 p 0001 tms intervention healthrelated quality life increased groups statistically significant differences groups also statistically significant differences groups regarding timed upandgo test oxford hip score 3month followup 12month followup rates complications readmissions similar groups number postoperative hospital contacts lower tms group interpretation length postoperative stay shortened patients tms solution without compromising patientperceived clinical parameters patients undergoing elective fasttrack surgery results indicate telemedicine value fasttrack treatment patients undergoing total hip replacement