CAS Clinical Trial
Official title:
Cumulated Ambulation Score and Length of Hospital Stay After TKA
The purpose of the study is to prospectively evaluate patients who underwent total knee arthroplasty (TKA) using the Cumulated Ambulation Score (CAS)
The number of patients who receive a total knee arthroplasty (TKA) is steadily increasing
and although the reliability and the results of this procedure are excellent, intensive
functional rehabilitation is needed postoperatively to obtain satisfactory range of motion.
Currently, the standard length of stay at our hospital is between 8 and 10 days for patients
who undergo TKA.
The length of stay depends not only on factors such as early mobilization, pain management,
major or minor complications and logistical or organizational problems (1) (2). It also
depends on the availability of adequate services when the patient needs to be transferred to
an appropriate facility. Each of these steps can be further developed in order to improve
the quality of care for patients, reduce hospital costs and increase the availability of
beds (3). As a result, the reduction in average length of stay would not only result in a
reduction in cost but also a greater turnover in the number of patients. Several studies
show that the application of a post-operative fast-track strategy may reduce the length of
stay in a very significant manner with benefit for patients and hospitals (3).Thus, if their
condition allows, patients would have rapid post-operative rehabilitation, with early joint
mobilization at D0 (operative day) and walking from D1 (the first post-operative day).
The Cumulated Ambulation Score (CAS) (4) is a tool developed and tested for initial
predicting the in-patient length of stay following a hip surgery. The CAS consists of
documenting the patient's ability and independence while performing 3 basic daily activities
(sit to stand, transfer out of bed and mobilization). It is calculated using a score of 0-2
for each parameter, giving a total daily score of 0 to 6 and a score of 0 to 18 during the
first 3 post-operative days. The CAS is then the sum of scores of the first 3 post-operative
days. This score proves to be an effective tool for predicting the length of stay, and other
parameters investigated such as survival rate and return home after a proximal femoral
surgery.
;
Observational Model: Cohort, Time Perspective: Prospective
| Status | Clinical Trial | Phase | |
|---|---|---|---|
| Completed |
NCT04825145 -
Preeclampsia and Contact Activation
|