A study of clinical outcomes and its associated factors after total knee arthroplastyr total knee arthroplasty
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Abstract
This study is a retrospective descriptive research project examining clinical
outcomes and associated factors following total knee replacement surgery. Data
were collected from the medical records of patients who underwent elective
total knee replacement at Ramathibodi Chakri Naruebodindra Hospital, along
with electronic medical records, from January 1, 2020, to December 31, 2021. A
total of 154 patients were included. Data were collected by recording forms,
including personal data and adverse clinical outcomes. The data were analyzed
using descriptive statistics and logistic regression analysis. The results revealed
that most patients experienced mild or no pain both before and after surgery,
with no reported infections or complications. Additionally, postoperative knee
flexion improved significantly, increasing preoperatively to more than 100
degrees within 12 weeks after surgery. The average length of hospital stay was
no more than five days. The adverse clinical outcomes after total knee
arthroplasty at 12 weeks showed that age and body mass index significantly
predicted the occurrence of knee flexion stiffness at 12 weeks, including
increasing age (OR=0.944, 95% CI=.897-.993), increasing body mass index
(OR=0.927, 95% CI=.864 -.996), and increasing body mass index was found to
increase the risk of knee extension stiffness 1.115 times (OR=1.115, 95%
CI=1.034-1.201). The findings of this study can guide hospitals in surgical
planning and the development of care protocols to reduce adverse clinical
outcomes in patients undergoing total knee replacement, ultimately enhancing
patient safety.
Article Details
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เนื้อหาและข้อมูลในบทความที่ลงตีพิมพ์ในวชิรสารการพยาบาลถือเป็นข้อคิดเห็นและความรับผิดชอบของผู้เขียนบทความโดยตรง ซึ่งกองบรรณาธิการไม่จำเป็นต้องเห็นด้วย หรือร่วมรับผิดชอบใด ๆ ทั้งสิ้น
บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการตีพิมพ์ในวชิรสารการพยาบาล ถือเป็นลิขสิทธิ์ของวชิรสารการพยาบาล หากบุคคลใดหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่ต่อหรือเพื่อกระทำการใด ๆ จะต้องได้รับอนุญาตเป็นลายลักอักษรจากวชิรสารการพยาบาลก่อนเท่านั้น
References
Thai Rheumatism Association. Guideline for the treatment of osteoarthritis of knee; 2010. Retrieved from: http://www.thairheumatology.org. (in Thai)
Woradet S, Chaimay B, Songmoung N, Sukrat W. Prevalence and factors associated with risk of osteoarthritis among elderly people in Pa Phayom district of Phatthalung province. The Southern College Network Journal of Nursing and Public Health. 2020;7(1): 227-239. (in Thai)
Kawinwongkowit W. Osteoperosis. [Internet]. 2012 [cited 2024 March 25]. Available from: https://www.rama.mahidol.ac.th/atrama/issue021/health-station. (in Thai)
Kawinwongkowit W. Knee replacement surgery and treatment of complications. Holistic Publishing CO.,Ltd: Bangkok; 2013. (in Thai)
Muangsiri S, Thurajan T. Evaluation of painful TKA in Aree Tanawee (editor) of textbook of hip and knee joint surgery. 2008;391-399. (in Thai)
Ramathibodi Chakri Naruebodindra Hospital Information System. Patients with total knee replacement in 2019-2020. Faculty of Medicine Ramathibodi Hospital, Mahidol University; 2021. (in Thai)
Konchan S, Namjuntra R. Effectiveness of pain management and rehabilitation program among patients receiving total knee arthroplasty. Christian University Journal. 2019;25(3):64-77. (in Thai)
American Association of Hip and Knee Surgeons [AAHKS]. Total knee replacement. [Internet]. 2015 [cited 2024 March 25]. Available from: http://www.aahks.org/ care-for-hips-and-knees/do i-need-a-joint-replacement/total-knee-replacement.
The Royal College of Anesthesiologists of Thailand, Thai Association for the Study of Pain. Clinical guidance for acute postoperative pain management vol2; 2020. (in Thai)
Sopithikul T. Factors related to the successful total knee arthroplasty in patients with osteopoarthritis at Debaratana Nakhonratchasima hospital, Nakhonratchasima province. Chaiyaphum Medical Journal. 2022;42(1):88-98. (in Thai)
Boonprakob T, Sasat S. Selected factors related to postoperative recovery in older person with total knee arthroplasty. Royal Thai Navy Medical Journal. 2019;46(2):355-368. (in Thai)
Frisch, N. Range of motion (ROM) after knee replacement surgery: The basic. [Internet]. 2017. [cited 2024 March 25]. Available from: https://www.peerwell.com.
Chun-De Liao, Shih-Wei Huang, Yu-Yun Huang, Che-Li Lin. Effects of sarcopenic obesity and its confounders on knee range of motion outcome after total knee replacement in older adults with knee osteoarthritis: a retrospective study. PMC. 2021;13(11):3817.
Krejcie VR, Morgan WD. Determining sample size for research activity. EPM. 1970;60(4):330.
Chawengkiattikul S, Aree-Ue S, Youngcharoen P, Kawinwonggowit V. Patients’ expectations to postoperative outcomes among older adults undergoing total knee arthroplasty and its related factors. Journal of the polices nurses and health science. 2020;11(2):361-73. (in Thai)
