Hip Replacement - Annexe G — Annexe Dossiers infirmiers

G.1 General analysis of the files

G.1.1 Age of the patient?

G.1.2 Planned surgery?

	planned_surgery	n
	no	51
	yes	139
sum	—	190

G.1.3 PCA pump?

	planned_surgery	pca_pump	n
	no	no_answer	2
	no	yes	6
	no	no	43
	yes	yes	47
	yes	no	92
sum	—	—	190

G.1.4 MRSA screening?

	mrsa_screening	mrsa_result	n
	no	not applicable	119
	yes	negatif	64
	yes	positif	4
	yes	no answer	2
	yes	absent	1
sum	—	—	190

G.1.5 Multidisciplinary exchange intramuros?

	Multidisciplinary exchange intramuros?	Present ?	n
	no	not applicable	152
	yes	present_compliant	26
	yes	present_not_compliant	10
	yes	absent	2
sum	—	—	190

G.1.6 Multidisciplinary exchange extramuros?

	Multidisciplinary exchange extramuros?	Present ?	n
	no	not applicable	182
	yes	present_not_compliant	8
sum	—	—	190

G.2 Analysis of the files of geriatric patients

G.2.1 Number of geriatric patients

There are 76 stays with a geriatric patient.

	age_of_the_patient >= 75	n
	FALSE	114
	TRUE	76
sum	—	190

G.2.2 Malnutrition screening for patient aged 75 year and over

G.2.3 Evaluation risk of pressure ulcers for a patient aged 75 year and over

	evaluation_risk_of_pressure_ulcers	n
	NORTON	38
	BRADEN	15
	not applicable	12
	klinische expertise	7
	skin	4
sum	—	76

G.2.4 Evaluation functional, mental, psychosocial for a patient aged 75 year and over.

Note: not applicable are the groups “non retrouvé”, “no” and not answered

19/76 or 25 % does not use a scale

Among the audited hospitals that make an assessment:

31/(76-19) or 54 % uses GRP
24/(76-19) or 42 % uses “screening fall risk”

G.3 Preoperative education in planned surgery

G.3.1 Number of stays?

planned surgery	preoperative education
planned surgery	no_answer	no	yes	Sum
no	6	36	9	51
yes	0	70	69	139
Sum	6	106	78	190

G.3.2 Education plan?

planned surgery	education plan
planned surgery	no_answer	present_compliant	present_not_compliant	absent	not_applicable	Sum
no	6	6	0	3	36	51
yes	0	41	12	16	70	139
Sum	6	47	12	19	106	190

G.4 Pain management

G.4.1 Pain scale

Is the pain score on the pain scale influenced by the preoperative education in terms of duration and intensity?

There are three stays without pain score.

G.4.1.1 Pain score per day with and without preoperative education

Proportion of the number of score over the total number of score per type of “Preoperative education?”

The effect of the preoperative operation on the pain score is very low (0.09 on a scale form 0.00 to 9.00) and not significant.

G.4.2 Mobility

There are 129 stays with a mobility score.

Repartition of those by day and education:

G.4.3 Pain medication

For the planned surgery (=yes), is there an influence of the preoperative education on the “toedieningsvorm van medicatie?

We only know what type, when and what combination of drug administration we have.

There are 65 stays with information on pain medication.

G.4.3.1 Analysis of the different type of medication

The different types of the answer collected for the 4 different days are :

answer_std	n
intramuscular	2
intravenous	100
oral_analgesic_drug	490
pca_pump	59

G.4.3.2 Effect of the preoperative education?

Only for preoperative “education = no”

Only for preoperative “education = yes”