Postoperative Pain After Implementation of Standardized Pain Therapy Management in Orthopaedic Patients

NCT06363227 | Not Yet Recruiting

• 1 other identifier: ANEST-0003
• Study Type: observational
• Target: 12,000
• Locations: 0 countries
• Sites: N/A

Brief Summary

The aim of this study is to examine the impact of implementing a standardized pain therapy protocol and their components on postoperative pain trajectories and postoperative outcomes such as increased opioid consumption and to compare it for different orthopaedic operations, i.e. major shoulder, hip, knee und spine surgery.

Conditions

Postoperative Pain, Acute

Keywords

multimodal pain protocol; orthopedic surgery; opioids

Outcome Measures

Primary Outcomes (2)

• Perioperative pain trajectories

  Pain scores based on perioperative NRS = Numeric rating scales (0-10) prior to surgery on day of admission and during the postoperative period until discharge

  2021-2024

• Increased risk for postoperative pain

  Identification of risk factors

  2021-2024

Secondary Outcomes (2)

• Total amount of opioids administered

  2021-2024

• Correlation of pain trajectories and patient reported outcome measures (e.g. postoperative nausea and vomiting)

  2021-2024

Interventions

Standardized pain management PROCEDURE

multimodal postoperative pain protocol

Eligibility Criteria

• Age: 16 Years - 99 Years
• Sex: all
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Patients undergoing elective major orthopedic or spine surgery at the Schulthess Clinic between 2020 and 2024.

You may qualify if:

• Patients undergoing primary hip and knee arthroplasties or revision surgery:CHOP Code: 81.51, 81.52, 81.52, 81.54
• Patients undergoing primary shoulder or revision surgery: CHOP codes: 81.80.11, 81.80.12, 83.64.11, 81.82.35, 81.82.45, 81.82.46, 81.82.47
• Patients undergoing major spine surgery: CHOP Code: 7A.6, 7A.7

You may not qualify if:

• \- Patients who did not sign general informed consent (for the Schulthess Clinic).

Sponsors & Collaborators

• Schulthess Klinik: lead

MeSH Terms

Conditions

Pain, Postoperative

Condition Hierarchy (Ancestors)

Postoperative Complications; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Pain; Neurologic Manifestations; Signs and Symptoms

Study Officials

• Christoph K Hofer, MD

  Schulthess Klinik

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Christoph K Hofer, MD

CONTACT

+41795427965; christoph.hofer@kws.ch

Julia Item, PhD

CONTACT

+41443857976; julia.item@kws.ch

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Head of Anesthesia, Professor, Principal Investigator

Study Record Dates

• First Submitted: April 9, 2024
• First Posted: April 12, 2024
• Study Start: May 1, 2024
• Primary Completion: February 1, 2025
• Study Completion: April 1, 2025
• Last Updated: April 16, 2024

Record last verified: 2024-04