Lavernia CJ, Guzman JF, Gachupin-Garcia A. A qualitative and systematic review of the literature. Health-related quality of life in total hip and total knee arthroplasty. 2012 55:4вЂ“15.Д®thgen O, Bruyere O, Richy F, Dardennes C, Reginster JY. Using the Risk Assessment and Predictor Tool (RAPT) for patients after total knee replacement surgery. Available at: Accessed January 23, 2014.Дauty M, Schmitt X, Menu P, Rousseau B, Dubois C. National Hospital Discharge Survey: 2010. 2006 21:151вЂ“156.Д¬enters for Disease Control and Prevention. Predictors of discharge to an inpatient extended care facility after total hip or knee arthroplasty. 2012 12:73.Д«ozic KJ, Wagie A, Naessens JM, Berry DJ, Rubash HE. Resource utilization and costs before and after total joint arthroplasty.

Hospital resource utilization for primary and revision total hip arthroplasty. See the Guidelines for Authors for a complete description of levels of evidence.Д«ozic KJ, Katz P, Cisternas M, Ono L, Ries MD, Showstack J. Additionally, it identifies intermediate-risk patients and could be used to implement targeted interventions to facilitate discharge home in this group of patients. The RAPT allows for identification of patients who are likely to be discharged home or to rehabilitation, which may facilitate preoperative planning of postoperative care. Predictive accuracy for these patients could potentially be improved through the identification and addition of other factors correlated to discharge disposition. Based on our data, intermediate-risk patients should be defined as those with scores of 7 to 10. The RAPT accurately predicted discharge disposition for high- and low-risk patients in our cohort. Based on our findings, the risk categories in our populations should be high risk В 10. Predictive accuracy was lowest for scores between 7 and 10 at 65.2% and almost 50% of patients received scores in this range. RAPT scores В 10 (of 12) predicted with >В 90% accuracy discharge to inpatient rehabilitation and home, respectively. Binary logistic regression was used to analyze the scores and determine predictive accuracy. The database was queried by the nursing case manager to retrieve the RAPT scores of all patients captured during this time period.

Scores were stored along with other clinical data, including discharge disposition, in a dedicated database on a secure server. MethodsД«etween June 2006 and December 2011, RAPT scores of 3213 patients (1449 THAs 1764 TKAs) were prospectively captured during the preoperative clinical visit. This study attempts (1) to assess predictive accuracy of the RAPT on US patients undergoing total hip and knee arthroplasty (THA/TKA) and (2) to determine predictive accuracy of each individual score (1вЂ“12). A low RAPT score is reported to indicate a high risk of needing any form of inpatient rehabilitation after TJA, including short-term nursing facilities. The RAPT was developed and tested on a population of Australian patients undergoing joint replacement, but its validity in other populations is unknown. The Risk Assessment and Prediction Tool (RAPT) is a preoperative survey constructed to predict discharge disposition after total joint arthroplasty (TJA). Studies have shown that early planning of discharge is essential in reducing length of stay and achieving financial benefit tools that can help predict discharge disposition would therefore be of use. Payers of health services and policymakers place a major focus on cost containment in health care.

Rapt tool