The Impact of COVID-19 Pandemic on Hip and Knee Replacement

Covid19 Clinical Trial

— PTA/PTGCovid  

Official title:

The Impact of COVID-19 Pandemic on the Nursing-sensitive and Rehabilitation Outcomes of Patients Undergoing Hip or Knee Replacement: a Single Centre Retrospective Study

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04883788
• Other study ID #: Codice AVEC 352/2021/Oss/IOR
• Status: Completed
• Start date: May 15, 2021
• Est. completion date: January 10, 2022

Study information

• Verified date: January 2022
• Source: Istituto Ortopedico Rizzoli
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

During the COVID-19 pandemic, the care of patients undergoing hip or knee replacement for osteoarthritis remains a clinical priority. To date, there is limited empirical knowledge about the impact of pandemic on the care of patients surgically treated for orthopaedic diseases, affected or not by COVID-19.

The aim of the present study is to describe and investigate the effects of the COVID-19 pandemic on the nursing-sensitive and rehabilitation outcomes of patients undergoing hip and knee replacement.

Description:

From hospital electronic registry of patients will be possible to screen the patients eligible for the study.

From each electronic patients record, health professional researchers will be responsable to collect data.

Variables about nursing and physiotherapy care, the staffing activities and the outcome achieved by the patients will be collected.

To investigate the impact of COVID-19 pandemic, data of the pandemic period (june-december 2020), will be compared with the data of the same year pre-pandemic (january-march 2020). During the period from april to may 2020, only orthopaedic surgery for emergency trauma or disease was allowed.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 600
• Est. completion date: January 10, 2022
• Est. primary completion date: January 10, 2022
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

Patients undergone hip or knee replacement for osteoarthritis

Exclusion Criteria:

Patients undergone hip or knee replacement for fracture, trauma or oncological diseases

Related Conditions & MeSH terms

• COVID-19
• Covid19
• Hip Arthropathy
• Joint Diseases
• Knee Arthropathy

Intervention

Other:
• Pandemic period
Perioperative care (nursing and physiotherapy) provided to patients treated with hip and knee replacement during the pandemic period

Locations

Country	Name	City	State
Italy	Istituto Ortopedico Rizzoli	Bologna

Sponsors (1)

Lead Sponsor	Collaborator
Istituto Ortopedico Rizzoli

Country where clinical trial is conducted

Italy, 

References & Publications (5)

Aiken LH, Sloane D, Griffiths P, Rafferty AM, Bruyneel L, McHugh M, Maier CB, Moreno-Casbas T, Ball JE, Ausserhofer D, Sermeus W; RN4CAST Consortium. Nursing skill mix in European hospitals: cross-sectional study of the association with mortality, patient ratings, and quality of care. BMJ Qual Saf. 2017 Jul;26(7):559-568. doi: 10.1136/bmjqs-2016-005567. Epub 2016 Nov 15. — View Citation

Macey ARM, Butler J, Martin SC, Tan TY, Leach WJ, Jamal B. 30-day outcomes in hip fracture patients during the COVID-19 pandemic compared to the preceding year. Bone Jt Open. 2020 Nov 2;1(7):415-419. doi: 10.1302/2633-1462.17.BJO-2020-0077.R1. eCollection 2020 Jul. — View Citation

Randau TM, Jaenisch M, Haffer H, Schömig F, Kasapovic A, Olejniczak K, Flechtenmacher J, Perka C, Wirtz DC, Pumberger M. Collateral effect of COVID-19 on orthopedic and trauma surgery. PLoS One. 2020 Sep 8;15(9):e0238759. doi: 10.1371/journal.pone.0238759. eCollection 2020. — View Citation

Shields RK, Enloe LJ, Evans RE, Smith KB, Steckel SD. Reliability, validity, and responsiveness of functional tests in patients with total joint replacement. Phys Ther. 1995 Mar;75(3):169-76; discussion 176-9. — View Citation

Wong JSH, Cheung KMC. Impact of COVID-19 on Orthopaedic and Trauma Service: An Epidemiological Study. J Bone Joint Surg Am. 2020 Jul 15;102(14):e80. doi: 10.2106/JBJS.20.00775. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	early independence	The recovery of patients of the independence measured by ILOA score	5 days after surgery
Primary	early ambulation	The first time that the patient is able to walk with elbow crutches after surgery	during hospitalization
Secondary	early upstairs	The first time that the patient is able to upstairs after surgery	during hospitalization
Secondary	Wound infection	Incidence of wound infection	during hospitalization
Secondary	Urinary infections	Incidence of urinary infection	during hospitalization
Secondary	Pressure ulcers	Incidence of pressure ulcers	during hospitalization
Secondary	Paralytic ileus	diagnosis or sign of paralytic ileus	during hospitalization