Impact of clinical pathway on the postoperative outcome of patients for Total Knee Arthroplasty
试验速览
- 阶段
- 4 期
- 状态
- 尚未招募
- 入组人数
- 100
- 试验地点
- 1
- 主要终点
- To link evidence to practice and optimize clinical outcomes while maximizing clinical efficiency.
研究概览
简要总结
Clinical Pathways (CP) or Integrated care pathways are defined as structured multidisciplinary care plans which detail essential steps in the care of patients with a specific clinical problem.
Aims
To link evidence to practice and optimize clinical outcomes while maximizing clinical efficiency.
Introduced in our hospital in 2011 for Total knee Arthroplasty
TKA is a complex surgery whose functional outcome depends on early mobilization which indirectly depends on good post operative pain relief
We introduced CP for TKA to streamline the post operative course
for optimising rehabilitation
Better pain relief
minimising the side effects.
研究设计
- 研究类型
- Observational
入排标准
- 年龄范围
- 30.00 Year(s) 至 85.00 Year(s)（—）
- 性别
- All
入选标准
- •ASA 1to 3 patients electively posted for total knee arthtroplasty surgery
- •Total Knee arthroplasty under combined spinal epidural anaesthesia
- •POst operative management as per the clinical pathway protocols set
- •patients willing to be enrolled under clinical pathway protocols.
排除标准
- •ASA4 patints who would require post operative intensive care monitoring.
- •Patients operated by orthopaedic surgeons other than the full time consultants of the hospital.
结局指标
主要结局
To link evidence to practice and optimize clinical outcomes while maximizing clinical efficiency.
时间窗: 1.Nausea vomitting postoperatively -immediate recovery room till day of discharge from hospital | 2.Early Feeding post operatively- immediate post operatively in the recovery room till 6 hours | 3. Ambulation and rehabilitation of patients Post poeratively from 6 hours till day of discharge | 4. Post operative analgesia - from recovery room till day of discharge | 5. Numbness during post operative period- during ambulation postoperatively
3. Ambulation and rehabilitation of patients
时间窗: 1.Nausea vomitting postoperatively -immediate recovery room till day of discharge from hospital | 2.Early Feeding post operatively- immediate post operatively in the recovery room till 6 hours | 3. Ambulation and rehabilitation of patients Post poeratively from 6 hours till day of discharge | 4. Post operative analgesia - from recovery room till day of discharge | 5. Numbness during post operative period- during ambulation postoperatively
1.Nausea vomitting postoperatively
时间窗: 1.Nausea vomitting postoperatively -immediate recovery room till day of discharge from hospital | 2.Early Feeding post operatively- immediate post operatively in the recovery room till 6 hours | 3. Ambulation and rehabilitation of patients Post poeratively from 6 hours till day of discharge | 4. Post operative analgesia - from recovery room till day of discharge | 5. Numbness during post operative period- during ambulation postoperatively
4. Post operative analgesia
时间窗: 1.Nausea vomitting postoperatively -immediate recovery room till day of discharge from hospital | 2.Early Feeding post operatively- immediate post operatively in the recovery room till 6 hours | 3. Ambulation and rehabilitation of patients Post poeratively from 6 hours till day of discharge | 4. Post operative analgesia - from recovery room till day of discharge | 5. Numbness during post operative period- during ambulation postoperatively
5. Numbness uring post operative period
时间窗: 1.Nausea vomitting postoperatively -immediate recovery room till day of discharge from hospital | 2.Early Feeding post operatively- immediate post operatively in the recovery room till 6 hours | 3. Ambulation and rehabilitation of patients Post poeratively from 6 hours till day of discharge | 4. Post operative analgesia - from recovery room till day of discharge | 5. Numbness during post operative period- during ambulation postoperatively
2.Early Feeding post operatively
时间窗: 1.Nausea vomitting postoperatively -immediate recovery room till day of discharge from hospital | 2.Early Feeding post operatively- immediate post operatively in the recovery room till 6 hours | 3. Ambulation and rehabilitation of patients Post poeratively from 6 hours till day of discharge | 4. Post operative analgesia - from recovery room till day of discharge | 5. Numbness during post operative period- during ambulation postoperatively
次要结局
- Length of hospital stay(Length of hospital stay- Day of discharge)