Title

Bowel management post major joint arthroplasty: Results from a randomised controlled trial

Document Type

Journal Article

Publisher

Elsevier

Faculty

Faculty of Health, Engineering and Science

School

School of Nursing and Midwifery

RAS ID

20906

Comments

Ross-Adjie G.M., Monterosso L., Bulsara M. (2015). Bowel management post major joint arthroplasty: Results from a randomised controlled trial. International Journal of Orthopaedic and Trauma Nursing, 19(2), 92-101. Available here

Abstract

Aim: To evaluate the effect of a new post-operative bowel protocol in total hip and total knee replacement patients. Background: Up to 65% of total hip and total knee replacement patients experience some degree of constipation post-operatively. A lack of robust evidence to guide bowel management and reduce constipation in this cohort was the impetus for this study. Design: A multisite cluster randomised trial in private secondary and tertiary hospitals. Methods: In total 331 patients were recruited across seven Australian hospitals over 13 months. Control participants ( n = 171) received routine bowel management whilst intervention participants ( n = 160) received bowel management as per the trial protocol. Results: Intervention patients took 6 days less than controls to return to normal bowel function, and were more than seven times more likely to return to normal bowel function by day 5 post operatively. Age, gender and length of pre-operative fasting had no effect on these outcomes. Conclusion: These results support the use of the Murdoch Bowel Protocol® for hip and knee replacement patients and may be relevant for other patient groups who experience opioid induced bowel dysfunction.

DOI

10.1016/j.ijotn.2014.04.002

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