Arthroplasty Rehabilitation Score - Can we Predict the Short Term Postoperative Outcome?
Total joint arthroplasty are common operations among the elderly population. The postoperative patients' rehabilitation process may be influenced by a variety of factors, such as age, BMI, perioperative hemoglobin levels, pain perception, comorbidities, etc. Nevertheless, only a few well controlled studies evaluated the effect of various factors on patients' rehabilitation short-term outcome. Furthermore, no scale has been developed, that can predict patients' rehabilitation and functioning levels 6 weeks postoperatively. In the current study we wish to evaluate the effect on patients' function that the following factors have: age, BMI, admission and discharge hemoglobin levels, pain perception, type of operation (TKA versus THA), intensity of postoperative physiotherapy, involvement of other joints by the primary pathology, comorbidities, and self assessed health status.
In order to quantify patients' level of functioning, several tests will be used: hand grip strength, Timed up and go test (TUG) and Oxford knee and hip score. The factors that will be found statistically significantly associated with level of functioning, will be used in an attempt to develop a scale that will predict the level of functioning 6 weeks postoperatively.
Such a scale can allow preoperative identification of patients at high risk of postoperative low functioning levels and the application of a unique rehabilitation program, for only these patients, in order to optimize their functioning.
調査の概要
状態
条件
詳細な説明
This is a prospective, analytical, approximately 6 months long study.
Population:
Approximately a 100 patients, scheduled for an elective arthroplasty will be recruited for the study:
- Males and females above 18 years of age, speaking Hebrew, English or Russian, scheduled for an elective unilateral (one joint) primary total joint arthroplasty of hip or knee.
- Available for follow up 1.5-2 months after the surgery.
- Willing to participate in the study.
Inclusion criteria:
- Patient above the age of 18 and eligible to provide informed consent.
- Scheduled for elective unilateral (one joint), primary total joint arthroplasty of hip or knee.
- Stepping with the operated leg is allowed after the surgery.
Exclusion criteria:
- Patients unwilling to participate.
- Patients with complications preventing regular rehabilitation, e.g. Myocardial Infarction, Pulmonary Embolism, Pneumonia, and infection or fracture of the joint.
- Patients with any complication that prevents stepping with the operated leg.
Design:
Prior to the scheduled operation, the following data regarding the patient will be collected:
- Gender, age, height, weight.
- Comorbidities (using Katz Score).
- Type of scheduled operation.
- Involvement by the primary pathology of joints other than the one being operated (by patient questioning).
- Hemoglobin level at admission.
- Self assessed health status (by patient questioning).
- Pain perception in the operated leg (using VAS Score).
In addition, the following tests will be performed:
- Evaluation of muscle strength using handgrip machine.
- Evaluation of motor functioning level using the TUG test and the Oxford knee and hip score.
- During the postoperative hospitalization period, hemoglobin and CRP levels will be checked, and the patients will be evaluated for complications.
In the follow up visit, the following data will be collected:
- Complications after discharge from hospital.
- Blood transfusions in this period.
- Duration of time in rehabilitation program, and intensity of physiotherapy given.
During the visit, the following tests will be performed:
- Evaluation of muscle strength using handgrip machine.
- Evaluation of motor functioning level, similar to the one performed preoperatively, using the TUG test and the Oxford knee and hip score.
研究の種類
入学 (予想される)
連絡先と場所
研究場所
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Jerusalem、イスラエル
- Hadassah Medical Organization
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参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
サンプリング方法
調査対象母集団
説明
Inclusion Criteria:
- Patient above the age of 18 and eligible to provide informed consent.
- Scheduled for elective unilateral (one joint), primary total joint arthroplasty of hip or knee.
- Stepping with the operated leg is allowed after the surgery.
Exclusion Criteria:
- Patients unwilling to participate.
- Patients with complications preventing regular rehabilitation, e.g. Myocardial Infarction, Pulmonary Embolism, Pneumonia, and infection or fracture of the joint.
- Patients with any complication that prevents stepping with the operated leg.
研究計画
研究はどのように設計されていますか?
デザインの詳細
コホートと介入
グループ/コホート |
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A
Primary arthroplasty
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この研究は何を測定していますか?
主要な結果の測定
結果測定 |
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握力
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Oxford hip and knee score
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Timed up and go test
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協力者と研究者
研究記録日
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (見積もり)
学習記録の更新
投稿された最後の更新 (見積もり)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
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