scholarly journals Is there a difference in physical activity levels in patients before and up to one year after unilateral total hip replacement? A systematic review and meta-analysis

2016 ◽  
Vol 31 (5) ◽  
pp. 639-650 ◽  
Author(s):  
Thomas M Withers ◽  
Sarah Lister ◽  
Catherine Sackley ◽  
Allan Clark ◽  
Toby O Smith

Objective: To determine the difference in physical activity levels before and up to one year after unilateral primary total hip replacement. Data sources: A search was performed on 13 July 2016. Studies were eligible for inclusion if they presented preoperative and up to one year postoperative measures of physical activity for patients who had undergone unilateral primary total hip replacement. Review methods: Any article that used a measure of physical activity pre and up to one year post-unilateral primary total hip replacement. Data was synthesised using a meta-analysis with 95% confidence intervals (CI), if appropriate. The Critical Appraisal Skills Programme cohort study checklist was used to assess the quality of evidence. Results: From 6024 citations, 17 studies were selected: Nine studies were analysed in a meta-analysis and eight studies were analysed qualitatively. The quality of the evidence was ‘low’ to ‘moderate’. There was no statistically significant difference in physical activity pre- to post-total hip replacement when assessed using: movement-related activity (mean difference (MD): −0.08; 95% CI: 1.60, 1.44; I2 = 0%; n = 77), percentage of 24-hours spent walking (MD: −0.21; 95% CI: −1.36, 0.93; I2 = 12%; n = 65), 6-minute walk test (MD: −60.85; 95% CI: −122.41, 0.72; I2 = 84%; n = 113) or the cardiopulmonary exercise test (MD: −0.24; 95% CI: −1.36, 0.87; I2 = 0%; n = 76). Conclusion: There is no statistically significant difference in physical activity levels before and up to one year after unilateral primary total hip replacement. However, the low to moderate methodological quality of the included articles should be taken into consideration when drawing conclusions.

2017 ◽  
Vol 3 (4) ◽  
pp. 174
Author(s):  
Aslan Aydoğan ◽  
Cevdet Tınazcı

AbstractThis study was aimed to investigate the effect of regular physical activity level on quality of life. The sample of the study included 363 personnel working at Near East University during May-June 2015. Data of the study were collected with “Demographic Information Form”, “Short form of International Physical Activity Evaluation Survey” and “Quality of Life Scale SF-36”. Data were analyzed with SPSS package program. Percentage, frequency and chi-square values were calculated and manova, anova and post hoc tests were applied for data analysis in order to determine if there is a significant difference between the variables. According to the results, it was revealed that males are more active than females. It was also figured out that married academic personnels are more active than single academic personnels; single administrative personnels are more active than married administrative personnels. When the quality of lives of academic and administrative personnels are compared, the significant difference in social and mental dimensions was observed in the favor of administrative personnel.When physical activity levels of academic and administrative personnels considered based on their age group; it was found that the most active personnels are 30 and under the age of 30 in both two groups.When quality of life levels of university personnel are considered based on age group; it was revealed that there was a significant difference in social and mental dimensions for 31 and above age group when compared to 30 and below age group.As a result of this research, it was figured out that physical activity levels of males when compared to females and physical activity levels of married participants when compared to single participants are higher. In terms of quality of life, it was revealed that administrative personnel are more healty in social and mental dimensions when compared to academic personnel. When physical activity levels based on age group are considered, the most active participants were 30 and above the age of 30 in both groups. When quality of life of university personnels are compared based on age group, it was revealed that 31 and above age group has higher levels of quality of life in social and mental dimensions when comapred to 30 and below age group. Keywords: Physical activity, university personnel, quality of life.


2008 ◽  
Vol 9 (3) ◽  
pp. 155-158 ◽  
Author(s):  
Alessandra Tellini ◽  
Vincenza Ciccone ◽  
Davide Blonna ◽  
Roberto Rossi ◽  
Antongiulio Marmotti ◽  
...  

2012 ◽  
Vol 94 (3) ◽  
pp. 201-203 ◽  
Author(s):  
PJ Joy ◽  
SJ Bennet

INTRODUCTION A significant proportion of all red cell transfusions are given to patients undergoing elective orthopaedic surgery. Concern over transfusion safety and cost, coupled with evidence showing that restrictive transfusion policies benefit patients, prompted us to audit our blood prescribing practice at Gloucestershire Hospitals NHS Foundation Trust in order to assess the appropriateness of every transfusion episode following elective primary total hip replacement. METHODS All patients undergoing a primary total hip replacement in our department over a six-month period were included in the study. Data were collected retrospectively using case note examination and transfusion service data. Standards were dictated by the British Orthopaedic Association guidelines on blood conservation in elective orthopaedic surgery. RESULTS Twenty-seven per cent of patients (39/143) were transfused. Forty-six per cent of these (18/39) were transfused inappropriately and twenty-three per cent (9/39) appropriately. Thirteen per cent (5/39) had a valid indication for transfusion but were over-transfused and in eighteen per cent (7/39) the quality of documentation did not allow an assessment to be made. Fifty-two per cent of patients who had surgical drains (29/56) were transfused. Reaudit following staff education and amendments to the local transfusion policy did not demonstrate a reduction in transfusion rates. CONCLUSIONS This audit showed that significant potential exists for reducing transfusion rates based on optimising prescribing practice alone. It also demonstrated that changing local practice based on audit data can be challenging.


2018 ◽  
Vol 48 (8) ◽  
pp. 1845-1857 ◽  
Author(s):  
Alexander C. Engel ◽  
Carolyn R. Broderick ◽  
Nancy van Doorn ◽  
Louise L. Hardy ◽  
Belinda J. Parmenter

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