{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,22]],"date-time":"2025-03-22T11:16:18Z","timestamp":1742642178479,"version":"3.37.3"},"reference-count":10,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2020,7,7]],"date-time":"2020-07-07T00:00:00Z","timestamp":1594080000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,7,7]],"date-time":"2020-07-07T00:00:00Z","timestamp":1594080000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["JA Clin Rep"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Previous studies explored the benefits related to early ambulation postoperatively, but few focused on patients with rheumatoid arthritis (RA). We retrospectively evaluated the incidence and predictors of the inability to begin walking on the first postoperative day (POD) after toe arthroplasty for rheumatoid arthritis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>RA patients who underwent toe arthroplasty at one hospital were retrospectively reviewed. A total of 300 patients were included and divided into two groups: possible group (<jats:italic>n<\/jats:italic>= 191), who were able to walk on the first POD, and impossible group (<jats:italic>n<\/jats:italic>= 109), who were unable to walk on the first POD. Data were analyzed using odds ratios (OR) with 95% confidence intervals (CI) between various patient factors and the impossible group with logistic regression analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The incidence of postoperative nausea and vomiting before rehabilitation was significantly associated with the infeasibility of walking rehabilitation on the first POD [OR = 2.43, 95% CI 1.22\u20134.14,<jats:italic>P<\/jats:italic>= 0.003]. The number of rescue analgesics administered before rehabilitation and the supplementation of peripheral nerve block was also associated with the infeasibility of walking rehabilitation on the first POD [OR = 1.29, 95% CI 1.04\u20131.59,<jats:italic>P<\/jats:italic>= 0.003; OR = 0.41, 95% CI 0.20\u20130.79,<jats:italic>P<\/jats:italic>= 0.010, respectively].<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The incidence of postoperative nausea and vomiting and inadequate postoperative pain management hindered early rehabilitation. Adding peripheral nerve block to general anesthesia had an advantage for postoperative rehabilitation after toe arthroplasty for rheumatoid arthritis.<\/jats:p><\/jats:sec>","DOI":"10.1186\/s40981-020-00356-1","type":"journal-article","created":{"date-parts":[[2020,7,7]],"date-time":"2020-07-07T16:04:07Z","timestamp":1594137847000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Impeding factors of early rehabilitation postoperatively after rheumatoid toe arthroplasty: a single-center retrospective cohort study"],"prefix":"10.1186","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2064-6664","authenticated-orcid":false,"given":"Shunsaku","family":"Goto","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yusuke","family":"Kasuya","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keiko","family":"Okuyama","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katsunori","family":"Ikari","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Makoto","family":"Ozaki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,7,7]]},"reference":[{"key":"356_CR1","doi-asserted-by":"publisher","first-page":"247","DOI":"10.1097\/RHU.0b013e3181570ad4","volume":"13","author":"TU Nguyen-Oghalai","year":"2007","unstructured":"Nguyen-Oghalai TU, Ottenbacher KJ, Caban M, Granger CV, Grecula M, Goodwin JS. The impact of rheumatoid arthritis on rehabilitation outcomes after lower extremity arthroplasty. J Clin Rheumatol. 2007;13:247\u201350.","journal-title":"J Clin Rheumatol."},{"key":"356_CR2","doi-asserted-by":"publisher","first-page":"3839","DOI":"10.1002\/art.37690","volume":"64","author":"B Ravi","year":"2012","unstructured":"Ravi B, Escott B, Shah PS, Jenkinson R, Chahal J, Bogoch E, et al. A systematic review and meta-analysis comparing complications following total joint arthroplasty for rheumatoid arthritis versus for osteoarthritis. Arthritis Rheum. 2012;64:3839\u201349.","journal-title":"Arthritis Rheum."},{"key":"356_CR3","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1213\/00000539-199807000-00019","volume":"87","author":"FJ Singelyn","year":"1998","unstructured":"Singelyn FJ, Deyaert M, Joris D, Pendeville E, Gouverneur JM. Effects of intravenous patient-controlled analgesia with morphine, continuous epidural analgesia, and continuous three-in-one block on postoperative pain and knee rehabilitation after unilateral total knee arthroplasty. Anesth Analg. 1998;87:88\u201392.","journal-title":"Anesth Analg."},{"key":"356_CR4","doi-asserted-by":"publisher","first-page":"2379","DOI":"10.1007\/s11999-008-0666-9","volume":"467","author":"AJR Macfarlane","year":"2009","unstructured":"Macfarlane AJR, Prasad GA, Chan VWS, Brull R. Does regional anesthesia improve outcome after total knee arthroplasty? Clin Orthop and Relat Res. 2009;467:2379\u2013402.","journal-title":"Clin Orthop and Relat Res."},{"key":"356_CR5","doi-asserted-by":"publisher","first-page":"1774","DOI":"10.3899\/jrheum.140011","volume":"41","author":"SM Goodman","year":"2014","unstructured":"Goodman SM, Ramsden-Stein DN, Huang WT, Zhu R, Figgie MP, Alexiades MM, et al. Patients with rheumatoid arthritis are more likely to have pain and poor function after total hip replacements than patients with osteoarthritis. J Rheumatol. 2014;41:1774\u201380.","journal-title":"J Rheumatol."},{"key":"356_CR6","doi-asserted-by":"publisher","first-page":"606","DOI":"10.1093\/bja\/78.5.606","volume":"78","author":"H Kehlet","year":"1997","unstructured":"Kehlet H. Multimodal approach to control postoperative pathophysiology and rehabilitation. Br J Anaesth. 1997;78:606\u201317.","journal-title":"Br J Anaesth."},{"key":"356_CR7","doi-asserted-by":"publisher","first-page":"85","DOI":"10.1213\/ANE.0000000000000002","volume":"118","author":"TJ Gan","year":"2014","unstructured":"Gan TJ, Diemunsch P, Habib AS, Kovac A, Kranke P, Meyer TA, et al. Consensus guidelines for the management of postoperative nausea and vomiting. Anesth Analg. 2014;118:85\u2013113.","journal-title":"Anesth Analg."},{"key":"356_CR8","doi-asserted-by":"publisher","first-page":"617","DOI":"10.1007\/s00540-017-2363-x","volume":"31","author":"XZ Cao","year":"2017","unstructured":"Cao XZ, White PF, Ma H. An update on the management of postoperative nausea and vomiting. J Anesth. 2017;31:617\u201326.","journal-title":"J Anesth."},{"key":"356_CR9","doi-asserted-by":"publisher","first-page":"742","DOI":"10.1093\/bja\/aes276","volume":"109","author":"CC Apfel","year":"2012","unstructured":"Apfel CC, Heidrich FM, Jukar-Rao S, Jalota L, Hornuss C, Whelan RP, et al. Evidence-based analysis of risk factors for postoperative nausea and vomiting. Br J Anaesth. 2012;109:742\u201353.","journal-title":"Br J Anaesth."},{"key":"356_CR10","doi-asserted-by":"publisher","first-page":"391","DOI":"10.1016\/j.ocl.2017.05.002","volume":"48","author":"RW Rutherford","year":"2017","unstructured":"Rutherford RW, Jennings JM, Dennis DA. Enhancing recovery after total knee arthroplasty. 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