The Effect of Remote Rehabilitation Support Via a Telemedicine Solution for Patients Undergoing an Optimized Fast-track Orthopedic Surgery Procedure With the Implementation of a Total Hip Arthroplasty.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 72
- 试验地点
- 2
- 主要终点
- EQ5D
研究概览
简要总结
The RRS project is a Randomized Clinical Trial documenting the effect of Remote Rehabilitation and Support via a telemedicine solution for patients undergoing an optimized fast-track orthopedic surgery procedure with the implementation of a total hip arthroplasty. With the telemedicine solution the investigators will support and try to motivate the patient to be discharged after only one day of hospitalization.
详细描述
This PhD study evaluates the effect of an information technology solution containing RRS. The way it supports, informs and educates the patient and support person, provides an opportunity for communication between the patient and the surgeons, physiotherapists and nurses at the hospital.
The parameters evaluated will be: Length of stay, health-related quality-of-life (HRQOL), functional outcome, pain, anxiety, complications and an evaluation of the socio-economic effect.
The aim of the study generates the following hypotheses and focus for publication
- Length of stay is lower for the intervention group compared to the control group.
- The average quality of life measured with EQ-5D will either be the same or higher when comparing the intervention group with the control group.
- Compared to the control group the functional outcome of the intervention group measured with Oxford Hip Score (OHS) and Timed Up and Go (TUG) will be the same or better.
- Complications measured as luxations, infections, and reoperations are the same or lower in the intervention group compared to the control group.
- There will be a correlation between patients with the highest level of psychological problems and symptoms of psychopathology measured with Symptom Checklist-90-R, and the postoperative outcome measured with EQ5D, anxiety and TUG.
- There will be a correlation between support persons with the highest level of psychological problems and symptoms of psychopathology measured with Symptom Checklist-90-R, and the postoperative outcome measured with EQ5D, anxiety and TUG for the patient they are related to.
- The socio-economic costs will be lower for the intervention group compared to the control group based on self reported data and data collected from official databases. This study will be conducted as a piggy back to the RCT.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Single (Outcomes Assessor)
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients qualified to go trough at joint-care procedure after the guidelines from Regionshospitalet Silkeborg.
排除标准
- •Previous hip surgery with the implantation of a total hip arthroplasty.
- •Patients living more than approximately 60 kilometers from the Regionshospitalet Silkeborg.
- •Patients with no 3G tele-net at their home address.
- •Patients with the need of Danish interpretation.
结局指标
主要结局
EQ5D
时间窗: 12 months
LOS
时间窗: up to 5 days
Length of Stay
次要结局
- TUG(day 90)
- SCL-90-r(day 0)
- anxiety(Day 90)
研究者
Martin Vesterby
MD
Regionshospitalet Silkeborg