NCT03667339终止不适用
Direct Anterior Total Hip Arthroplasty (THA), in Versus Outpatients : A Prospective Monocentric Study in Rennes University Hospital.
Rennes University Hospital1 个研究点 分布在 1 个国家目标入组 1 人开始时间: 2018年3月27日最近更新:
适应症
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 发起方
- 入组人数
- 1
- 试验地点
- 1
- 主要终点
- Cumulative lenght of stay
研究概览
简要总结
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
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •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.
结局指标
主要结局
Cumulative lenght of stay
时间窗: 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)
次要结局
未报告次要终点
研究者
研究点 (1)
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