Prospective Randomized Assessment of the Influence of Early Preoperative Consultation on Satisfaction and the Average Length of Stay of Patients Who Underwent Total Hip Arthroplasty
试验速览
- 阶段
- 不适用
- 状态
- 撤回
- 主要终点
- Average length of stay
研究概览
简要总结
Arthroplastic hip surgery "fast-track" the subject of increasing interest and reduces the average length of stay and improve patient satisfaction. This fast circuit implemented in many schools uses dedicated inpatient units, preoperative patient education in multidisciplinary groups (including physiotherapists, nurses, rehabilitation doctors and surgeons), an analgesia protocol multimodal and a network dedicated to the outlet (1.2).
The investigators working hypothesis is that the mere realization of a preoperative visit a week before the intervention would reduce the average length of stay for all patients with a target of two nights (instead of 7.5 days currently) (3) to reduce the use of SSR during hospitalization. This consultation would serve to explain to the patient the early course of care, give advice and help to anticipate acts for its release "post-operative" as, for example, contact a physical therapist and a nurse or check to their community pharmacy if their heparin stock is enough and to answer any questions (Appendix 2: early information given to the patient consultation J-8).
The investigators protocol is inspired by the one already in place for outpatient PTH and PTH 1 night but invariably apply to all patients for whom a home is considered output.
详细描述
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Objectives
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Primary Objective Influence of preoperative consultation to "D-8" on the average length of stay of a randomized series multi-operator.
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Secondary objectives
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Evaluation of patient satisfaction and clinical status 2. Evaluation of the analgesic consumption 3. Evaluation of complications
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Population concerned
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Inclusion Criteria All patients undergoing total hip replacement
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Exclusion criteria
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (Investigator)
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
- •All patients undergoing total hip replacement
排除标准
- •Patient choosing immediately a supported SSR in postoperative
- •Geographical remoteness
- •Social isolation
- •Medical pathology requiring special monitoring (phlebitis history, coagulation disorders, anticoagulant therapy ...)
- •psychiatric pathology
- •Patients opting for the protocol "overnight"
结局指标
主要结局
Average length of stay
时间窗: After surgery at Day 1
次要结局
- Evaluation of pain by VAS(Before and after surgery at Day -1 then Day 1)
- St. Joseph Satisfaction(After surgery when leaving the hospital, in average in the 3 Days)
- Morbidity(In the week after surgery)
- Mortality(In the week after surgery)
- OXFORD Score for Hip(Before and after surgery at Day -1 then Day 1)
- Patient satisfaction (verbal scale: 0 to 10)(Before and after surgery at Day -1 then Day 1)
