Opioid Free and Therapy Minimized Advantages Using HANA Table for Total Hip Arthroplasty
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 207
- 试验地点
- 1
- 主要终点
- Short Physical Performance Battery
研究概览
简要总结
To prove that anterior approach total hip arthroplasty using the HANA table can be performed with little, if any, need for opioids using a combination of education, optimized pre op and post op pain protocols and optimized recovery tools.
详细描述
Methods:
Data Collection:
- pre-op assessment/physical therapy evaluation
- post op assessment - PACU, phase II (Prior to discharge)
- phone calls after discharge (post op day 1, 2, 3)
- follow up assessment in surgeon's office (3 and 6 weeks post op)
- Ortech
- Swiftpath
- HOOS jr
Pre-optimization:
- All patients enroll in SwiftPath education program
- Optimized BMI, hemoglobin, albumin, glucose control, A1C and blood pressure control
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
- 30 Years 至 100 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Elective total hip arthroplasty
- •unilateral
- •patient surgeries scheduled to be performed at the hospital and surgery center
- •patients must enroll in SwiftPath
- •Ability to read and understand English
排除标准
- •Patient diagnosis of schizophrenia, bipolar disease, dementia
- •previous burn to affected extremity
- •BMI > 40
- •Hemoglobin <12 female, <13 male
- •Albumin less than 3.5
- •A1C >8.0
结局指标
主要结局
Short Physical Performance Battery
时间窗: 6 Weeks
Assessment tool measuring gait speed, balance and chair stand test. Scores range from 0 to 4 with higher scores indicating a better outcome.
Number of Patients That Took Any Opioids Throughout 6-week Follow-up Period
时间窗: 6 weeks
Number of patients that took any opioids throughout 6-week follow-up period
Pre-operative Narcotic Use
时间窗: Pre-operatively
Percentage of patients that used used opioids pre-operatively
次要结局
- Sleep Quality(6 Weeks)
- Number of Patients That Return to Work 6 Weeks After Surgery(6 weeks)
- Number of Patients Who Return to Driving 6 Weeks After Surgery(6 Weeks)
- Length of Stay in Hospital(1 week)
- Numeric Pain Scores(6 Weeks)
- Number of Participants Who Adhere to Prescribed Post op Recovery Protocol(2 weeks)
研究者
Dr Andrew B. Wickline
Orthopedic Surgeon
St. Elizabeth Medical Center, Utica, NY