Assessment of the Influence of Early Preoperative Consultation on Satisfaction and the Average Length of Stay of Patients Who Underwent Total Hip Arthroplasty

NCT02771041 | Withdrawn DMC

• 1 other identifier: PTH J-8
• Study Type: interventional
• Target: N/A
• Locations: 0 countries
• Sites: N/A

Brief Summary

Arthroplastic hip surgery "fast-track" the subject of increasing interest and reduces the average length of stay and improve patient satisfaction. This fast circuit implemented in many schools uses dedicated inpatient units, preoperative patient education in multidisciplinary groups (including physiotherapists, nurses, rehabilitation doctors and surgeons), an analgesia protocol multimodal and a network dedicated to the outlet (1.2). The investigators working hypothesis is that the mere realization of a preoperative visit a week before the intervention would reduce the average length of stay for all patients with a target of two nights (instead of 7.5 days currently) (3) to reduce the use of SSR during hospitalization. This consultation would serve to explain to the patient the early course of care, give advice and help to anticipate acts for its release "post-operative" as, for example, contact a physical therapist and a nurse or check to their community pharmacy if their heparin stock is enough and to answer any questions (Appendix 2: early information given to the patient consultation J-8). The investigators protocol is inspired by the one already in place for outpatient PTH and PTH 1 night but invariably apply to all patients for whom a home is considered output.

Conditions

Orthopedic Surgery

Keywords

Hip prothesis

Outcome Measures

Primary Outcomes (1)

• Average length of stay

  After surgery at Day 1

Secondary Outcomes (6)

• OXFORD Score for Hip

  Before and after surgery at Day -1 then Day 1

• Patient satisfaction (verbal scale: 0 to 10)

  Before and after surgery at Day -1 then Day 1

• St. Joseph Satisfaction

  After surgery when leaving the hospital, in average in the 3 Days

• Evaluation of pain by VAS

  Before and after surgery at Day -1 then Day 1

• Morbidity

  In the week after surgery

Study Arms (2)

Group with D-8 medical consultation

EXPERIMENTAL

A medical consultation 8 days before surgery would serve to explain to the patient the early course of care, give advice and help to anticipate acts for its release "post-operative" as, for example, contact a physical therapist and a nurse or check to their community pharmacy if their heparin stock is enough and to answer any questions.

Procedure: medical consultation 8 days before surgery

Group without D-8 medical consultation

NO INTERVENTION

Interventions

medical consultation 8 days before surgery PROCEDURE

This consultation would serve to explain to the patient the early course of care, give advice and help to anticipate acts for its release "post-operative" as, for example, contact a physical therapist and a nurse or check to their community pharmacy if their heparin stock is enough and to answer any questions.

Group with D-8 medical consultation

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• \. All patients undergoing total hip replacement

You may not qualify if:

• Patient choosing immediately a supported SSR in postoperative
• Geographical remoteness
• Social isolation
• Medical pathology requiring special monitoring (phlebitis history, coagulation disorders, anticoagulant therapy ...)
• psychiatric pathology
• Patients opting for the protocol "overnight"

Sponsors & Collaborators

• Fondation Hôpital Saint-Joseph: lead

Study Officials

• Guillaume RIOUALLON, MD

  Groupe Hospitalier Paris Saint-Joseph (FRANCE)

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: INVESTIGATOR
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 9, 2016
• First Posted: May 12, 2016
• Study Start: September 23, 2015
• Primary Completion: May 1, 2016
• Study Completion: May 1, 2016
• Last Updated: February 23, 2017

Record last verified: 2016-05