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

Completed

• Conditions: Hip Osteoarthritis; Hip Arthritis; Knee Arthritis; Knee Osteoarthritis

• Registration Number: NCT03071250
• Lead Sponsor: University of Arkansas

Brief 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.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2017-03-01
• Study First Submitted QC: 2017-03-01
• Study First Posted: 2017-03-06
• Study Start: 2018-10-01
• Primary Completion: 2019-06-01
• Status Verified: 2019-07
• Study Completion: 2019-07-01
• Last Update Submitted: 2019-07-23
• Last Update Posted: 2019-07-24

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 500

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

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Length of Stay	7/1/2015 - 7/1/2016	Postoperative hospital length of stay

Secondary Outcome Measures

Name	Time	Method
narcotic consumption	7/1/2015 - 7/1/2016	30-day postoperative narcotic consumption
Pain scores	7/1/2015 - 7/1/2016	postoperative VAS pain scores
30-day readmission	7/1/2015 - 7/1/2016	30-day hospital readmission following procedure
infection	7/1/2015 - 7/1/2016	Surgical site infections
PONV	7/1/2015 - 7/1/2016	postoperative nausea and vomiting

Trial Locations

Locations (1)

University of Arkansas for MEdical Sciences; 🇺🇸 Little Rock, Arkansas, United States