Direct Anterior Total Hip Arthroplasty (THA), in Versus Outpatients : A Prospective Monocentric Study in Rennes University Hospital.

Terminated

• Conditions: Direct Anterior Total Hip Arthroplasty

• Registration Number: NCT03667339
• Lead Sponsor: Rennes University Hospital

Brief Summary

The main objective is to show that cumulative length of stay over the first 45 post operative days (i.e. : primary length of stay and readmission) is significantly lower in the outpatients group than in the inpatients group

Detailed Description

Not available

Study Timeline

• Study Start: 2018-03-27
• Primary Completion: 2018-05-10
• Study Completion: 2018-05-10
• Study First Submitted: 2018-09-10
• Study First Submitted QC: 2018-09-11
• Study First Posted: 2018-09-12
• Status Verified: 2023-04
• Last Update Submitted: 2023-04-11
• Last Update Posted: 2023-04-13

Recruitment & Eligibility

• Status: TERMINATED
• Sex: All
• Target Recruitment: 1

Inclusion Criteria

• Unilateral primary total hip arthroplasty for hip osteoarthritis, primary or secondary osteoarthritis (dysplasia or post-traumatic) or osteonecrosis
• Good enough understanding of outpatient management and patient adherence to post-operative instructions
• Sufficient patient complicance to medical orders
• Living and hygiene conditions, at least, equivalent to the ones the hospital provides
• To be of age
• Non opposition to the protocole participation

Outpatients group :

• Patient schedulded to undergo outpatient THA

Inpatients group :

• Patient schedulded to undergo inpatient THA because of not fiting the following items :

• Less than an hour distance of a Health Center that provides appropriate care with regard to the surgery
• Rapid access to a phone
• Designated driver and caretaker available (at least the first night after discharge from the hospital) after the procedure Or turning down outpatient THA

Exclusion Criteria

• Anaesthetic point of view :

  • ASA physical status ≥ 3 and : unstabilize disease with appropriate treatment or lack of preoperative mutual agreement between anesthesiologist and surgeon or not inconsiderable interaction between the operation and the disease or its treatment
  • Pre-operative Hb < 12 (♀) < 13 (♂) g/L (NB : no Hb control before discharge except if excessive blood loss ; Hb < 10g/L contraindicates outpatient surgery)
  • Opioid chronic pre-operative therapy or opioid addiction

• Surgical point of view :

  • Ambulatory pre-operative status requiring use of two crutches or walking frame / distance walked < 30 m
  • THA procedure for femoral neck fracture requiring
  • Additional operative technic needed

• Adult safeguarding.

Exclusion criteria applies to all in and outpatients.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Cumulative lenght of stay	45 days before surgery	Cumulative lenght of stay ( ie : the sum of the days of hospitalization corresponding to the initial hospitalization and readmissions if there are any)

Trial Locations

Locations (1)

CHU de Rennes; 🇫🇷 Rennes, France