Effects of interdisciplinary preoperative sessions for preparation, education, and follow-up on the length of stay of patients undergoing total hip or knee replacement.
Résumé de l'étude
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)
Intervention étudiée
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)
Maladie en cours d'investigation
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)
Critères d'exclusion
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)
Lieu de l’étude
Lausanne
(BASEC)
Sponsor
HESAV
(BASEC)
Contact pour plus d'informations sur l'étude
Personne de contact en Suisse
Pichonnaz Claude
021 316 81 26
claude.pichonnaz@clutterhesav.chHaute École de Santé - Vaud (HESAV)
(BASEC)
Informations générales
Haute Ecole de Sant? Vaud
(ICTRP)
Informations scientifiques
Haute Ecole de Sant? Vaud
(ICTRP)
Nom du comité d'éthique approbateur (pour les études multicentriques, uniquement le comité principal)
Commission cantonale d'éthique du Vaud
(BASEC)
Date d'approbation du comité d'éthique
11.08.2022
(BASEC)
Identifiant de l'essai ICTRP
NCT05452161 (ICTRP)
Titre officiel (approuvé par le comité d'éthique)
Effects of Preoperative Education, and Follow-up Sessions of Patients With Total Hip and Knee Arthroplasty (ESIPPES) (BASEC)
Titre académique
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)
Titre public
Effects of Preoperative Education, and Follow-up Sessions of Patients With Total Hip and Knee Arthroplasty (ESIPPES) (ICTRP)
Maladie en cours d'investigation
Arthroplasty, Replacement, Hip;Arthroplasty, Replacement, Knee (ICTRP)
Intervention étudiée
Other: Control group;Other: Intervention group A;Other: Intervention group B (ICTRP)
Type d'essai
Interventional (ICTRP)
Plan de l'étude
Allocation: Randomized. Intervention model: Parallel Assignment. Primary purpose: Treatment. Masking: None (Open Label). (ICTRP)
Critères d'inclusion/exclusion
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)
non disponible
Critères d'évaluation principaux et secondaires
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)
Date d'enregistrement
non disponible
Inclusion du premier participant
non disponible
Sponsors secondaires
non disponible
Contacts supplémentaires
Claude Pichonnaz, Haute Ecole de Sant? Vaud (ICTRP)
ID secondaires
ESIPPES (ICTRP)
Résultats-Données individuelles des participants
non disponible
Informations complémentaires sur l'essai
https://clinicaltrials.gov/ct2/show/NCT05452161 (ICTRP)
Résultats de l'essai
Résumé des résultats
lay-summary.pdfLien vers les résultats dans le registre primaire
non disponible