Effects of interdisciplinary preoperative sessions for preparation, education, and follow-up on the length of stay of patients undergoing total hip or knee replacement.
Descrizione riassuntiva dello studio
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)
Intervento studiato
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)
Malattie studiate
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)
Criteri di esclusione
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)
Luogo dello studio
Losanna
(BASEC)
Sponsor
HESAV
(BASEC)
Contatto per ulteriori informazioni sullo studio
Persona di contatto in Svizzera
Pichonnaz Claude
021 316 81 26
claude.pichonnaz@clutterhesav.chHaute École de Santé - Vaud (HESAV)
(BASEC)
Informazioni generali
Haute Ecole de Sant? Vaud
(ICTRP)
Informazioni scientifiche
Haute Ecole de Sant? Vaud
(ICTRP)
Nome del comitato etico approvante (per studi multicentrici solo il comitato principale)
Commissione d'etica Vaud
(BASEC)
Data di approvazione del comitato etico
11.08.2022
(BASEC)
ID di studio ICTRP
NCT05452161 (ICTRP)
Titolo ufficiale (approvato dal comitato etico)
Effects of Preoperative Education, and Follow-up Sessions of Patients With Total Hip and Knee Arthroplasty (ESIPPES) (BASEC)
Titolo accademico
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)
Titolo pubblico
Effects of Preoperative Education, and Follow-up Sessions of Patients With Total Hip and Knee Arthroplasty (ESIPPES) (ICTRP)
Malattie studiate
Arthroplasty, Replacement, Hip;Arthroplasty, Replacement, Knee (ICTRP)
Intervento studiato
Other: Control group;Other: Intervention group A;Other: Intervention group B (ICTRP)
Tipo di studio
Interventional (ICTRP)
Disegno dello studio
Allocation: Randomized. Intervention model: Parallel Assignment. Primary purpose: Treatment. Masking: None (Open Label). (ICTRP)
Criteri di inclusione/esclusione
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 disponibile
Endpoint primari e secondari
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)
Data di registrazione
non disponibile
Inclusione del primo partecipante
non disponibile
Sponsor secondari
non disponibile
Contatti aggiuntivi
Claude Pichonnaz, Haute Ecole de Sant? Vaud (ICTRP)
ID secondari
ESIPPES (ICTRP)
Risultati-Dati individuali dei partecipanti
non disponibile
Ulteriori informazioni sullo studio
https://clinicaltrials.gov/ct2/show/NCT05452161 (ICTRP)
Risultati dello studio
Riepilogo dei risultati
lay-summary.pdfLink ai risultati nel registro primario
non disponibile