An Analysis of the Outcomes From Protocolized Perioperative Care for Patients Receiving Total Hip or Knee Arthroplasty

Knee Osteoarthritis Clinical Trial

Official title:

An Analysis of the Outcomes From Protocolized Perioperative Care for Patients Receiving Total Hip or Knee Arthroplasty

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03071250
• Other study ID #: 206501
• Status: Completed
• Start date: October 1, 2018
• Est. completion date: July 1, 2019

Study information

• Verified date: July 2019
• Source: University of Arkansas
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

The care for patients receiving total hip and knee arthroplasty at the University of Arkansas for Medical Sciences has followed a structured care pathway since July 2015. This system of perioperative care has focused on preoperative assessment of medical co-morbidities and risks to postoperative functional recovery, anesthetic care focused on postoperative nausea and vomiting prevention and optimizing immediate postoperative functional ability, and aggressive postoperative physical therapy.

This is an observational study to look at the outcomes of this program at University of Arkansas for Medical Sciences. Areas of focus will be hospital length of stay, postoperative narcotic consumption, Visual Analog Scale scores, incidence of postoperative nausea and vomiting, and 30-day readmission rates, and health literacy rates.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 500
• Est. completion date: July 1, 2019
• Est. primary completion date: June 1, 2019
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• All men and women 18 years and older who underwent total hip arthroplasty or total knee arthroplasty surgery at UAMS between 7/01/2015 and 7/01/2016.

Exclusion Criteria:

• none

Related Conditions & MeSH terms

• Arthritis
• Hip Arthritis
• Hip Osteoarthritis
• Knee Arthritis
• Knee Osteoarthritis
• Osteoarthritis
• Osteoarthritis, Hip
• Osteoarthritis, Knee

Intervention

Procedure:
• Total knee or Hip Arthroplasty
Patients who received either a total knee or hip arthroplasty will be identified

Locations

Country	Name	City	State
United States	University of Arkansas for MEdical Sciences	Little Rock	Arkansas

Sponsors (1)

Lead Sponsor	Collaborator
University of Arkansas

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Length of Stay	Postoperative hospital length of stay	7/1/2015 - 7/1/2016
Secondary	narcotic consumption	30-day postoperative narcotic consumption	7/1/2015 - 7/1/2016
Secondary	Pain scores	postoperative VAS pain scores	7/1/2015 - 7/1/2016
Secondary	30-day readmission	30-day hospital readmission following procedure	7/1/2015 - 7/1/2016
Secondary	infection	Surgical site infections	7/1/2015 - 7/1/2016
Secondary	PONV	postoperative nausea and vomiting	7/1/2015 - 7/1/2016