Effects of interdisciplinary preoperative sessions for preparation, education, and follow-up on the length of stay of patients undergoing total hip or knee replacement.
Zusammenfassung der Studie
The shortening of lengths of stay requires a rethinking of perioperative management (around the operative period), which precedes and immediately follows the intervention, in order to ensure good patient preparation and adequate postoperative follow-up. The aim of this study is to evaluate in patients undergoing total hip or knee replacement the effect on length of stay of adding an individualized pre-perioperative preparation and education session to the existing protocol in the musculoskeletal department at the Lausanne University Hospital (CHUV). The implementation of a targeted and minimally burdensome immediate postoperative follow-up could help improve the detection of complications, prevent avoidable readmissions, enhance pain management and adverse events, support the patient, and address difficulties encountered in their living environment. However, the actual added value for the patient and the healthcare system still needs to be clarified. Since the needs and resources of patients vary, it would also be useful to better determine the profile of patients for whom a preoperative and postoperative session provides significant added value.
(BASEC)
Untersuchte Intervention
The control group receives the standard care in place in the service, which includes only a group information session.
The intervention group A receives, in addition to a group information session, an individualized preparation and education interview.
The intervention group B receives, in addition to a group information session, an individualized preparation and education interview from the group information session and a remote postoperative follow-up.
(BASEC)
Untersuchte Krankheit(en)
In Switzerland, in 2017, 12.4% of the Swiss population suffered from osteoarthritis. In 2019, the SIRIS registry for hip and knee implants recorded 20,077 total hip prostheses and 15,453 total knee prostheses implanted in Switzerland. The improvement of overall practices in prosthetic surgery, the pressure on healthcare costs, and the shift to outpatient care have led to a shortening of lengths of stay.
(BASEC)
The study includes: Male and female patients admitted to the musculoskeletal department of the Lausanne University Hospital (CHUV) during the study period for the implantation of a primary total hip prosthesis (THP) or primary total knee prosthesis (TKP), who present a RAPT score >6 (Risk Assessment and Prediction Tool), indicative of a likely return directly home upon discharge from hospitalization. (BASEC)
Ausschlusskriterien
Exclusion criteria include: - A high likelihood of not being able to return directly home - A summons for a knee prosthesis change, given the potentially different postoperative outcomes. - Inability to provide informed consent or to respond knowledgeably to questionnaires for reasons of language or cognitive impairments, as reported in the medical record. (BASEC)
Studienstandort
Lausanne
(BASEC)
Sponsor
HESAV
(BASEC)
Kontakt für weitere Auskünfte zur Studie
Kontaktperson Schweiz
Pichonnaz Claude
021 316 81 26
claude.pichonnaz@clutterhesav.chHaute École de Santé - Vaud (HESAV)
(BASEC)
Allgemeine Auskünfte
Haute Ecole de Sant? Vaud
(ICTRP)
Wissenschaftliche Auskünfte
Haute Ecole de Sant? Vaud
(ICTRP)
Name der bewilligenden Ethikkommission (bei multizentrischen Studien nur die Leitkommission)
Ethikkommission Waadt
(BASEC)
Datum der Bewilligung durch die Ethikkommission
11.08.2022
(BASEC)
ICTRP Studien-ID
NCT05452161 (ICTRP)
Offizieller Titel (Genehmigt von der Ethikkommission)
Effects of Preoperative Education, and Follow-up Sessions of Patients With Total Hip and Knee Arthroplasty (ESIPPES) (BASEC)
Wissenschaftlicher Titel
Effects of Interdisciplinary Preoperative Preparation, Education, and Follow-up Sessions on Length of Stay in Hospital and Clinical Outcomes of Patients Undergoing Total Hip or Knee Replacement Surgery. (ICTRP)
Öffentlicher Titel
Effects of Preoperative Education, and Follow-up Sessions of Patients With Total Hip and Knee Arthroplasty (ESIPPES) (ICTRP)
Untersuchte Krankheit(en)
Arthroplasty, Replacement, Hip;Arthroplasty, Replacement, Knee (ICTRP)
Untersuchte Intervention
Other: Control group;Other: Intervention group A;Other: Intervention group B (ICTRP)
Studientyp
Interventional (ICTRP)
Studiendesign
Allocation: Randomized. Intervention model: Parallel Assignment. Primary purpose: Treatment. Masking: None (Open Label). (ICTRP)
Ein-/Ausschlusskriterien
Gender: All
Maximum age: N/A
Minimum age: 18 Years
Inclusion Criteria:
- male and female patients admitted to the CHUV musculoskeletal department during the
study period
- primary total hip replacement or primary total knee replacement
- a Risk Assessment and Prediction Tool (RAPT) score >6
Exclusion Criteria:
- a RAPT score <6,
- knee/hip arthroplasty revision surgery
- inability to give informed consent or answer questionnaires knowledgeably due to
language or cognitive impairment as reported in the medical record
(ICTRP)
nicht verfügbar
Primäre und sekundäre Endpunkte
Hospital stay (ICTRP)
Readmission rate;Destination at discharge;Postoperative pain;Complications;Joint function of hip or knee;Joint function of hip;Joint function of knee;Mobility of hip or knee;Anxiety and Depression;Representation of pain;Expectations concerning the prosthesis and subjective function;Satisfaction with care;Quality of life EuroQol 5 Dimensions (EQ-5D) questionnaire (ICTRP)
Registrierungsdatum
nicht verfügbar
Einschluss des ersten Teilnehmers
nicht verfügbar
Sekundäre Sponsoren
nicht verfügbar
Weitere Kontakte
Claude Pichonnaz, Haute Ecole de Sant? Vaud (ICTRP)
Sekundäre IDs
ESIPPES (ICTRP)
Angaben zur Verfügbarkeit von individuellen Teilnehmerdaten
nicht verfügbar
Weitere Informationen zur Studie
https://clinicaltrials.gov/ct2/show/NCT05452161 (ICTRP)
Ergebnisse der Studie
Zusammenfassung der Ergebnisse
lay-summary.pdfLink zu den Ergebnissen im Primärregister
nicht verfügbar