Postoperative Pain Management in Hospital and Following Discharge From Hospital.

Assessment of Postoperative Pain Management in Patients Undergoing Total Knee Arthroplasty Immediately After Surgery and Following Discharge From Hospital.

To investigate postoperative pain management in patients undergoing knee or hip replacement while they are in the hospital and following discharge to their home. Additionally, sample questions will be asked prior to surgery to predict patient's postoperative pain experience.

Study Overview

• Status: Completed
• Conditions: Arthropathy of Knee Joint

Detailed Description

We hypothesize that patients experience more postoperative pain at home than they do in hospital and factors such as preoperative anxiety, depression, and preoperative pain affect the level of postoperative pain experienced by patients. A total of 200 patients undergoing total knee surgery will be enrolled in this observational study. They will be asked to fill a baseline questionnaire including demographic information, medical problems, anxiety, depression, preoperative pain level, etc. Following routine standard anesthesia and surgery, patient's pain will be assessed every 4 hours when they are in the hospital after surgery, then daily assessment for 1 week after they are discharged home followed at 2 months, and 6 months after surgery.

• Study Type: Observational
• Enrollment (Actual): 200

Contacts and Locations

Study Locations

• United States
  • Connecticut
    • Hartford, Connecticut, United States, 06057
      • Saint Francis Hospital and Medical Center

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 85 years (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

Patients treated at Saint Francis Hospital undergoing total knee replacement

Description

Inclusion Criteria:

• Patients undergoing total knee arthroplasty

Exclusion Criteria:

• Patients attending rehabilitation facilities after discharge
• unwilling or unable to provide consent

Study Plan

How is the study designed?

Number of groups / cohorts

1

Cohorts and Interventions

Group / Cohort
Postoperative pain management; The postoperative pain level will be assessed during hospitalization and at home, in patients undergoing total knee replacement

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Pain scores	Pain scores (at rest & with exercise) will be collected during the hospital stay	during hospital stay (average 3 days)

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
preoperative anxiety scores	Analysis of preoperative anxiety scores.	preoperative
Preoperative depression scores	Analysis of preoperative depression score.	preoperative

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
Pain medication consumption	pain medication consumption will be collected during hospital stay	during hospital stay (average 3 days)

Collaborators and Investigators

• Sponsor: Saint Francis Care
• Investigators: Principal Investigator: Sanjay Sinha, MD, Saint Francis Memorial Hospital

Study record dates

Study Major Dates

• Study Start: July 1, 2014
• Primary Completion (Actual): June 16, 2015
• Study Completion (Actual): June 16, 2015

Study Registration Dates

• First Submitted: June 28, 2013
• First Submitted That Met QC Criteria: July 18, 2013
• First Posted (Estimate): July 24, 2013

Study Record Updates

• Last Update Posted (Actual): April 27, 2017
• Last Update Submitted That Met QC Criteria: April 26, 2017
• Last Verified: April 1, 2017

More Information

Terms related to this study

• Keywords: total knee arthroplasty
• Additional Relevant MeSH Terms: Pathologic Processes; Postoperative Complications; Pain; Neurologic Manifestations; Musculoskeletal Diseases; Pain, Postoperative; Joint Diseases
• Other Study ID Numbers: 13-06-002