Next Article in Journal
Psychological Aspects of Media Communication during the COVID-19 Pandemic: Insights from Healthcare and Pharmacy Specialists in Lithuania
Next Article in Special Issue
Connecting the World of Healthcare Virtually: A Scoping Review on Virtual Care Delivery
Previous Article in Journal
The Impact of COVID-19 on the Service of Emergency Department
Previous Article in Special Issue
Telemonitoring in the Covid-19 Era: The Tuscany Region Experience
 
 
Font Type:
Arial Georgia Verdana
Font Size:
Aa Aa Aa
Line Spacing:
Column Width:
Background:
Article

Remote Management of Patients after Total Joint Arthroplasty via a Web-Based Registry during the COVID-19 Pandemic

1
IRCCS Istituto Ortopedico Galeazzi, Via Riccardo Galeazzi 4, 20161 Milan, Italy
2
Department of Biomedical Sciences for Health, Università degli Studi di Milano, 20133 Milan, Italy
3
IRCCS Istituto Ortopedico Galeazzi, Via Monreale 18, 20148 Milan, Italy
4
Department of Orthopaedics, Universita’ degli Studi di Milano, 20161 Milan, Italy
*
Author to whom correspondence should be addressed.
Healthcare 2021, 9(10), 1296; https://doi.org/10.3390/healthcare9101296
Submission received: 31 August 2021 / Revised: 21 September 2021 / Accepted: 24 September 2021 / Published: 29 September 2021

Abstract

Background: In 2020, due to the outbreak of the COVID-19 (Coronavirus Disease 2019) pandemic, patients who underwent total joint arthroplasty were not able to undergo the proper postoperative surgical and rehabilitative care. This study aims to evaluate the potential of a web-cloud-based database on patients’ follow-up in extraordinary situations, when a traditional in-person follow-up cannot be warranted. Methods: Patients who underwent joint arthroplasty at our Institute between 21 February and 16 March 2020 were included in the study group and were matched to a similar population undergoing joint arthroplasty in February/March 2019. All patients routinely complete questionnaires before and after treatment, including patient-reported outcome measures such as the Visual Analogues Scale (VAS), Knee/Hip Injury and Osteoarthritis Outcome Score Physical Function Short Form (KOOS-PS/HOOS-PS) and Short-Form Health Survey (SF-12) for the monitoring of clinical improvements. Results: 56 (study group) and 144 (control group) patients were included in the study. Both groups demonstrated significant improvements at 3 months. HOOS-PS improvement was significantly reduced in the 2020 group compared to 2019 (21.7 vs. 33.9, p < 0.001). This reduction was related to intense physical activities. Similarly, the functional score improvement related to these activities was reduced for patients undergoing knee replacement (8 vs. 10, p < 0.05). Conclusions: The web-based Institute Registry emerged as a meaningful and sensitive tool during an extraordinary situation such as the COVID-19 pandemic to monitor patients’ progression after total joint arthroplasties. Thanks to this tool, it was possible to observe that the prevention of usual postoperative care due to pandemic-related restrictions did not alter the benefits observed after joint replacement surgeries, even if this condition reduced the postoperative improvements in the most burdensome physical activities. A broader use of this kind of tool would improve and potentially reduce the burden and costs of postoperative patients’ monitoring in standard and extraordinary conditions. In addition, the systematic remote collection of data would allow for the identification of relevant differences in clinical outcomes in specific conditions or following the modification of treatment and rehabilitation protocols.
Keywords: hip arthroplasty; knee arthroplasty; registry; remote monitoring; COVID-19 hip arthroplasty; knee arthroplasty; registry; remote monitoring; COVID-19

Share and Cite

MDPI and ACS Style

Ulivi, M.; Orlandini, L.; Meroni, V.; D’Errico, M.; Fontana, A.; Viganò, M.; Mangiavini, L.; D’Anchise, R.; Parente, F.; Pozzoni, R.; et al. Remote Management of Patients after Total Joint Arthroplasty via a Web-Based Registry during the COVID-19 Pandemic. Healthcare 2021, 9, 1296. https://doi.org/10.3390/healthcare9101296

AMA Style

Ulivi M, Orlandini L, Meroni V, D’Errico M, Fontana A, Viganò M, Mangiavini L, D’Anchise R, Parente F, Pozzoni R, et al. Remote Management of Patients after Total Joint Arthroplasty via a Web-Based Registry during the COVID-19 Pandemic. Healthcare. 2021; 9(10):1296. https://doi.org/10.3390/healthcare9101296

Chicago/Turabian Style

Ulivi, Michele, Luca Orlandini, Valentina Meroni, Mario D’Errico, Arianna Fontana, Marco Viganò, Laura Mangiavini, Roberto D’Anchise, Franco Parente, Roberto Pozzoni, and et al. 2021. "Remote Management of Patients after Total Joint Arthroplasty via a Web-Based Registry during the COVID-19 Pandemic" Healthcare 9, no. 10: 1296. https://doi.org/10.3390/healthcare9101296

APA Style

Ulivi, M., Orlandini, L., Meroni, V., D’Errico, M., Fontana, A., Viganò, M., Mangiavini, L., D’Anchise, R., Parente, F., Pozzoni, R., Sansone, V., Zagra, L., & Peretti, G. M. (2021). Remote Management of Patients after Total Joint Arthroplasty via a Web-Based Registry during the COVID-19 Pandemic. Healthcare, 9(10), 1296. https://doi.org/10.3390/healthcare9101296

Note that from the first issue of 2016, this journal uses article numbers instead of page numbers. See further details here.

Article Metrics

Back to TopTop