Do pre- and post- rehabilitation influence hospital length of stay and patient recovery following total hip replacement in the UK? A systematic scoping review and Delphi study
Journal article
Willis, R., Edris, R., Akehurst, S. and Ferraro, F. 2025. Do pre- and post- rehabilitation influence hospital length of stay and patient recovery following total hip replacement in the UK? A systematic scoping review and Delphi study. International Journal of Orthopaedic and Trauma Nursing. 58, pp. 1-12. https://doi.org/10.1016/j.ijotn.2025.101209
| Authors | Willis, R., Edris, R., Akehurst, S. and Ferraro, F. |
|---|---|
| Abstract | Pre-operative rehabilitation is an effective means of reducing Length of Stay (LoS), but little evidence is available on its influence on Total Hip Replacement (THR) patients. Hence, a review of UK-based experimental studies to evaluate the effect of physical therapy on LoS was performed. Subsequently, a narrative synthesis was employed to develop a three-round Delphi study targeting UK clinicians. The review and Delphi results showed that patients had higher satisfaction with education clinics, but nurse-led assessment and physiotherapist education were not superior to standard pre-operative practices. The Delphi highlighted the challenges and benefits of (p)rehabilitation and provided suggestions for THR best practices. In conclusion, the study shows that there is a lack of evidence on the effectiveness of (p)rehabilitation on LoS; further research is recommended into education, (p)rehabilitation and patient self-efficacy interventions to enhance THR patients' pathways. |
| Keywords | Arthroplasty; Prehabilitation; Length of stay; ERAS |
| Year | 2025 |
| Journal | International Journal of Orthopaedic and Trauma Nursing |
| Journal citation | 58, pp. 1-12 |
| Publisher | Elsevier |
| ISSN | 1878-1292 |
| Digital Object Identifier (DOI) | https://doi.org/10.1016/j.ijotn.2025.101209 |
| Web address (URL) | https://www.sciencedirect.com/science/article/pii/S1878124125000541 |
| Publisher's version | License File Access Level Open |
| Output status | Published |
| Publication dates | Aug 2025 |
| Online | 14 Jun 2025 |
| Publication process dates | |
| Accepted | 13 Jun 2025 |
| Deposited | 08 Jul 2025 |
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