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

Completed

• Conditions: Hip Arthropathy; Knee Arthropathy; Covid19
• Interventions: Other: Pandemic period

• Registration Number: NCT04883788
• Lead Sponsor: Istituto Ortopedico Rizzoli

Brief 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.

Detailed 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.

Study Timeline

• Study First Submitted: 2021-05-11
• Study First Submitted QC: 2021-05-11
• Study First Posted: 2021-05-12
• Study Start: 2021-05-15
• Status Verified: 2022-01
• Primary Completion: 2022-01-10
• Study Completion: 2022-01-10
• Last Update Submitted: 2022-01-27
• Last Update Posted: 2022-02-10

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 600

Inclusion Criteria

Patients undergone hip or knee replacement for osteoarthritis

Exclusion Criteria

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

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Pandemic group	Pandemic period	Patients undergone hip and knee replacement during pandemic period (June-december 2020)

Primary Outcome Measures

Name	Time	Method
early independence	5 days after surgery	The recovery of patients of the independence measured by ILOA score
early ambulation	during hospitalization	The first time that the patient is able to walk with elbow crutches after surgery

Secondary Outcome Measures

Name	Time	Method
Urinary infections	during hospitalization	Incidence of urinary infection
Pressure ulcers	during hospitalization	Incidence of pressure ulcers
Wound infection	during hospitalization	Incidence of wound infection
early upstairs	during hospitalization	The first time that the patient is able to upstairs after surgery
Paralytic ileus	during hospitalization	diagnosis or sign of paralytic ileus

Trial Locations

Locations (1)

Istituto Ortopedico Rizzoli; 🇮🇹 Bologna, Italy