Influence of the Operative Day on the Average Duration of Stay in Primary Hip and Knee Replacements (JourOpDMS)

May 16, 2023 updated by: Centre Hospitalier Universitaire, Amiens
Reducing the length of stay (LOS) after primary arthroplasty is a relatively new target that arouses the attention of orthopedic surgeons in order to return home early through the fast recovery protocols but this goal is also wanted in public health for the sake of overall decline health spending in public costs.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

Reducing the length of stay (LOS) after primary arthroplasty is a relatively new target that arouses the attention of orthopedic surgeons in order to return home early through the fast recovery protocols but this goal is also wanted in public health for the sake of overall decline health spending in public costs.

Reducing the LOS after primary hip arthroplasty and knee is studied through many publications that found an LOS influenced by the own medical factors of patients (ref) However, no study to our knowledge research the influence of the operative day and the LOS.

For historical reasons, the organization of care is modified on the weekend (Saturday and Sunday) in particular by reducing the caregiver and also the lack of physical therapist to make the early postoperative get up (D0 or D1).

The hypothesis is that a patient operated the friday did not have the same care the first 48 hours that a patient who had surgery at the beggening of the week and that his recovery was therefore extended.

The investigator can also suppose that LOS was shorter for patients returning home for those who were transferred to a rehabilitation center or other structure.

The results will be adjusted according to the literature data on the age more than 80 years, sex, diabetes, cardiovascular diseases, respiratory diseases.

Study Type

Observational

Enrollment (Actual)

1663

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Locations

  • France
    • Picardie
      • Amiens, Picardie, France, 80054
        • CHU Amiens Picardie

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Sampling Method

Non-Probability Sample

Study Population

Patients undergoing primary hip and knee arthroplasty

Description

Inclusion Criteria:

  • All major patients operated at the University Hospital of Amiens between 1 January 2015 and 31 December 2016 for primary hip and knee arthroplasty

Exclusion Criteria:

  • All patients undergoing surgery for hip or knee surgery (reoperation).
  • All patients undergoing total arthroplasty on fracture of the femoral neck from all causes.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Analysis of the average length of stay in total hip and knee arthroplasty (defined as the time in days between in and out of the orthopedic unit for all destinations)
Time Frame: 1 year
Analysis of the average length of stay in total hip and knee arthroplasty (defined as the time in days between in and out of the orthopedic unit for all destinations)
1 year

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Centre Hospitalier Universitaire, Amiens

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

September 1, 2018

Primary Completion (Actual)

December 1, 2018

Study Completion (Actual)

December 1, 2018

Study Registration Dates

First Submitted

April 14, 2017

First Submitted That Met QC Criteria

April 25, 2017

First Posted (Actual)

April 28, 2017

Study Record Updates

Last Update Posted (Actual)

May 17, 2023

Last Update Submitted That Met QC Criteria

May 16, 2023

Last Verified

May 1, 2023

More Information

Terms related to this study

Other Study ID Numbers

  • RNI2016-34 Pr Mertl

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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