Feasibility of Outpatient Total Knee Arthroplasty
調査の概要
状態
条件
詳細な説明
Consecutive patients presenting for elective TKA at the General (Dr. Dervin) will be approached for enrollment.
Dr Dervin will present the study to their patients who are appropriate for the study when first confirmed for joint replacement after clinic assessment. If the patient has indicated that they are interested, the surgeon will inform the research coordinator who will then continue the consenting process. The research coordinator will confirm patient's eligibility to ensure that all inclusion and no exclusion criteria are met. The study will be explained in detail to qualify patients and they will be provided with a copy of the consent form. The consent form will also provide a clause of confidentiality informing patient privacy. All questions will be answered. Patients may also talk to the investigators with any additional questions.
Patients will be advised preoperatively about an accelerated path while in hospital that will share many attributes of the standard TOH care map,but with several additions, chosen to help reduce pain and hemarthrosis, both felt to be the major impediments to faster recuperation.
- Surgery will be performed with a muscle sparing subvastus approach, chosen because of evidenced decreased pain.
- Tranexamic acid ( 10 mg/kg) intravenously will be administered to further reduce blood loss at time of tourniquet deflation.
The "Game Ready" cold - compression device will be used post operatively to help reduce pain and minimize swelling.
.
Timeline:
Outcome data collection is expected to be completed by July 1, 2018 to allow for a minimum 6 month follow up.
Outcomes (Metrics):
The outcome measures are provided and are summarized here.
- Length of stay: We will measure LOS for these patients as compared to a cohort that is comparable in demographics who are being treated concurrently on the service
- Analgesic use in hospital and at home (where pt will maintain a 28 day pain diary to record analgesics taken and quality of life recovery questions) to be captured with special interest to any opioid sparing effect
- Physiotherapy will measure the Physical parameters such as range of motion and quadriceps strength during stay and at discharge, 2 weeks , and 1 , 2 and 3 months
- Patient satisfaction questionnaire outcome: after 6 months to evaluate
Health care resource requirement
- Physiotherapy visits
- Use of mobility aids duration
- Time to return to work where applicable
Benefits to patient The benefits to the patient will be substantial by improving the pace of recovery with less physical burden and quicker achievement of goals and resumption of normal activity.
研究の種類
入学 (実際)
連絡先と場所
研究場所
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Ontario
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Ottawa、Ontario、カナダ、H1H 8L6
- The Ottawa General Hospital
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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:
- Must be candidate for Total knee arthroplasty
- Patient of Dr Dervin
- Male or Female
- Age range between 50-75yrs,
- A Subvastus approach can be used
Patients who do not meet any exclusion criteria.
Exclusion Criteria:
- Over 75 of age
- Poor health issues
- Revised surgery on same knee
- Pt with evidence of active infection
- Pt with a BMI larger than 30kg/m2
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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Patients presenting for elective TKA
Patients will be advised preoperatively about an accelerated path while in hospital that will share many attributes of the standard TOH care map but with several additions, chosen to help reduce pain and hemarthrosis, both felt to be the major impediments to faster recuperation.
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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 |
メジャーの説明 |
時間枠 |
---|---|---|
Pain dairy
時間枠:28 days
|
measuring pain location,pain intensity, quality of pain, satisfaction with pain management, report any side effects, Quality of recovery, Pain medication schedule, Cryocuff schedule for Game Ready device
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28 days
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協力者と研究者
捜査官
- 主任研究者:Geoffrey Dervin, MD,MSc,FRCSC、OHRI / The Ottawa Hospital
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (実際)
研究の完了 (実際)
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 (実際)
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
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。
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