The quality of recovery on discharge from hospital, a comparison between patients undergoing hip and knee replacement - a European study.
OBJECTIVE
To describe and compare the quality of recovery on discharge from hospital among patients undergoing elective hip or knee replacement. The study will also attempt to identify any predicting factors.


BACKGROUND
Arthroplasty is commonly used for an increasing population of patients with osteoarthritis, and the recovery process starts directly after surgery. Today's shorter hospital stay may be a challenge for the patients during the early period of recovery. It is therefore important to identify factors associated with quality of recovery at discharge from hospital.


METHODS
A descriptive, comparative study including 12 hospitals in 5 European countries; Cyprus, Finland, Greece, Iceland and Sweden.


METHODS
Consecutively included patients responded on: health-related quality of life, and emotions before surgery and at hospital discharge; quality of recovery, patient satisfaction and fulfilment of knowledge expectations. Related factors and associations were analysed separately for each kind of arthroplasty. In total, 865 patients were included (hip n = 413, knee n = 452).


RESULTS
In the dimension of pain, patients undergoing hip replacement had significantly better quality of recovery compared to those undergoing knee replacement. Both patient groups experienced negative emotions before surgery that were related to poorer quality of recovery. Fulfilment of knowledge expectations has a limited effect on quality of recovery. Greater satisfaction with care predicted better quality of recovery.


CONCLUSIONS
Negative preoperative emotions were related to poorer quality of recovery. For both kinds of arthroplasty, greater satisfaction with care was associated with better quality of recovery.


CONCLUSIONS
The result emphasises the need to detect patients in need of support in their preparation and recovery process, taking into account the perspective of their emotional state.
Department of Social and Welfare Studies, Linköping University, Norrköping, Sweden. asa.johansson.stark@liu.se.
Åsa
Å
Johansson Stark
Cyprus University of Technology, Limassol, Cyprus.|Department of Nursing Science, Turku University Hospital, University of Turku, Turku, Finland.
Andreas
A
Charalambous
Department of Nursing, Klaipeda University, Klaipeda, Lithuania.
Natalja
N
Istomina
Department of Nursing Science, Turku University Hospital, University of Turku, Turku, Finland.
Sanna
S
Salanterä
School of Health Sciences, University of Akureyri, Akureyri, Iceland.
Arun K
AK
Sigurdardottir
Faculty of Nursing, University of Athens, Athens, Greece.
Panayota
P
Sourtzi
Department of Nursing Science, University of Turku, Turku, Finland.|Lahti University of Applied Sciences, Lahti, Finland.
Kirsi
K
Valkeapää
Hospital Clinic of Barcelona, Barcelona, Spain.
Adelaida
A
Zabalegui
Department of Medical and Health Sciences, Linköping University, Norrköping, Sweden.
Margareta
M
Bachrach-Lindström
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000451:nursing / Q000523:psychology / Q000534:rehabilitation*; D019645:Arthroplasty, Replacement, Knee / Q000451:nursing / Q000523:psychology / Q000534:rehabilitation*; D005060:Europe; D005260:Female; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D010351:Patient Discharge; D017060:Patient Satisfaction; D011795:Surveys and Questionnaires
fulfilment of knowledge expectations; health-related quality of life; hip replacement; knee replacement; preoperative emotional state; quality of recovery; satisfaction with care