The Impact of COVID-19 Pandemic on Hip and Knee Replacement (PTA/PTGCovid)
The Impact of COVID-19 Pandemic on the Nursing-sensitive and Rehabilitation Outcomes of Patients Undergoing Hip or Knee Replacement: a Single Centre Retrospective Study
During the COVID-19 pandemic, the care of patients undergoing hip or knee replacement for osteoarthritis remains a clinical priority. To date, there is limited empirical knowledge about the impact of pandemic on the care of patients surgically treated for orthopaedic diseases, affected or not by COVID-19.
The aim of the present study is to describe and investigate the effects of the COVID-19 pandemic on the nursing-sensitive and rehabilitation outcomes of patients undergoing hip and knee replacement.
研究概览
详细说明
From hospital electronic registry of patients will be possible to screen the patients eligible for the study.
From each electronic patients record, health professional researchers will be responsable to collect data.
Variables about nursing and physiotherapy care, the staffing activities and the outcome achieved by the patients will be collected.
To investigate the impact of COVID-19 pandemic, data of the pandemic period (june-december 2020), will be compared with the data of the same year pre-pandemic (january-march 2020). During the period from april to may 2020, only orthopaedic surgery for emergency trauma or disease was allowed.
研究类型
注册 (实际的)
联系人和位置
学习地点
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Bologna、意大利、40136
- Istituto Ortopedico Rizzoli
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
取样方法
研究人群
描述
Inclusion Criteria:
Patients undergone hip or knee replacement for osteoarthritis
Exclusion Criteria:
Patients undergone hip or knee replacement for fracture, trauma or oncological diseases
学习计划
研究是如何设计的？
设计细节
队列和干预
团体/队列 |
干预/治疗 |
|---|---|
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Pandemic group
Patients undergone hip and knee replacement during pandemic period (June-december 2020)
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Perioperative care (nursing and physiotherapy) provided to patients treated with hip and knee replacement during the pandemic period
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Pre-pandemic group
Patients undergone hip and knee replacement during the pre-pandemic period (january-march 2020)
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研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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early independence
大体时间：5 days after surgery
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The recovery of patients of the independence measured by ILOA score
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5 days after surgery
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early ambulation
大体时间：during hospitalization
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The first time that the patient is able to walk with elbow crutches after surgery
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during hospitalization
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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early upstairs
大体时间：during hospitalization
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The first time that the patient is able to upstairs after surgery
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during hospitalization
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Wound infection
大体时间：during hospitalization
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Incidence of wound infection
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during hospitalization
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Urinary infections
大体时间：during hospitalization
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Incidence of urinary infection
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during hospitalization
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Pressure ulcers
大体时间：during hospitalization
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Incidence of pressure ulcers
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during hospitalization
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Paralytic ileus
大体时间：during hospitalization
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diagnosis or sign of paralytic ileus
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during hospitalization
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合作者和调查者
出版物和有用的链接
一般刊物
- Shields RK, Enloe LJ, Evans RE, Smith KB, Steckel SD. Reliability, validity, and responsiveness of functional tests in patients with total joint replacement. Phys Ther. 1995 Mar;75(3):169-76; discussion 176-9. doi: 10.1093/ptj/75.3.169.
- Aiken LH, Sloane D, Griffiths P, Rafferty AM, Bruyneel L, McHugh M, Maier CB, Moreno-Casbas T, Ball JE, Ausserhofer D, Sermeus W; RN4CAST Consortium. Nursing skill mix in European hospitals: cross-sectional study of the association with mortality, patient ratings, and quality of care. BMJ Qual Saf. 2017 Jul;26(7):559-568. doi: 10.1136/bmjqs-2016-005567. Epub 2016 Nov 15.
- Randau TM, Jaenisch M, Haffer H, Schomig F, Kasapovic A, Olejniczak K, Flechtenmacher J, Perka C, Wirtz DC, Pumberger M. Collateral effect of COVID-19 on orthopedic and trauma surgery. PLoS One. 2020 Sep 8;15(9):e0238759. doi: 10.1371/journal.pone.0238759. eCollection 2020.
- Wong JSH, Cheung KMC. Impact of COVID-19 on Orthopaedic and Trauma Service: An Epidemiological Study. J Bone Joint Surg Am. 2020 Jul 15;102(14):e80. doi: 10.2106/JBJS.20.00775.
- Macey ARM, Butler J, Martin SC, Tan TY, Leach WJ, Jamal B. 30-day outcomes in hip fracture patients during the COVID-19 pandemic compared to the preceding year. Bone Jt Open. 2020 Nov 2;1(7):415-419. doi: 10.1302/2633-1462.17.BJO-2020-0077.R1. eCollection 2020 Jul.
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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