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. 2013 94(02):231РІР‚вЂњ239.Payers of health services and policymakers place a major focus on cost containment in health care. Monticone M, Ferrante S, Rocca B et al.Home-based functional exercises aimed at managing kinesiophobia contribute to improving disability and quality of life of patients undergoing total knee arthroplasty: a randomized controlled trial. Targeted postoperative care improves discharge outcome after hip or knee arthroplasty. Oldmeadow L B, McBurney H, Robertson V J, Kimmel L, Elliott B. Setting, clinical pathways, fast-track and rehabilitation following primary knee arthroplasty: a literature review. Does the Risk Assessment and Prediction Tool predict discharge disposition after joint replacement? Clin Orthop Relat Res. Hansen V J, Gromov K, Lebrun L M, Rubash H E, Malchau H, Freiberg A A.

Risk assessment tools used to predict outcomes of total hip and total knee arthroplasty. Konopka J F, Hansen V J, Rubash H E, Freiberg A A. Risk Assessment and Prediction Tool joint arthroplasty joint replacement. Level of Evidence This is a level IV, systematic review of level III and IV study.

Further studies confirming the predictive accuracy of RAPT at other institutions are needed as well as studies assessing the effect of using RAPT to identify patients for targeted interventions in terms of LOS, discharge disposition, clinical outcomes, and financial impact. Conclusion Although contrarily to many of the other scores, the RAPT has been validated in multiple countries with relatively similar results between different institutions however, its validity has yet to be tested and adapted in every nation context. In the intermediate risk category, a targeted intensive postoperative rehabilitation program has demonstrated good results in reducing the uncertain outcome. All analyzed studies demonstrated that RAPT could reduce LOS and accurately predict discharge disposition especially for high- and low-risk patients. Results A total of 27 references were retrieved, and 8 studies were selected. Only original prospective or retrospective articles that analyze specifically the use of RAPT were included, whereas those concerned with other preoperative prediction tools or those only considering other aspects of recovery after joint replacements were excluded. Methods The databases of PubMed, Web of Sciences, Cochrane Library, and Pedro were searched for English studies on RAPT prediction capacity. The aim of this review is to describe its predictive ability, current utilization, and future prospects through the analysis of scientific literature. Purpose The Risk Assessment and Prediction Tool (RAPT) is an interesting instrument for predicting the discharge destination and length of stay (LOS) for patients after hip or knee arthroplasty.

Rapt tool