An observational study in Surgery, Knee Osteoarthritis and Postoperative Complications, sponsored by Niklas Ingemann Nielsen. Completed at 1 site in Denmark. Open to participants aged 18 Years to 90 Years. Per ClinicalTrials.gov, last updated 2021-02-02.
Sponsored by Niklas Ingemann Nielsen · Observational
A Quality Study in the use of Post-Anaesthesia Care Unit(PACU) in Hip and Knee Arthroplasty, and the ability to bypass this unit.
The investigators wish to investigate the amount of patients who is required to be secondary admitted to the PACU, after primary discharge from the operating room to the surgical ward, thereby bypassing the PACU.
The investigators wish to investigate the use of our standardized regimen for discharging patients directly to the surgical ward, thereby bypassing the PACU. The anaesthesiology dept. have a local standard operating procedure for doing this, and the patients will be treated according to this.
This means that Patients will be discharged directly to the surgical ward if the following criteria are met:
The patients will upon arrival at the surgery start a registration containing preoperative data(baseline morbidity, sex, height, weight, type of anaesthesia and surgery), perioperative data containing surgery and anaesthesia data, and postoperative discharge-score(local operating procedure).
After discharge to either the surgical ward or the PACU, the patient will be observed closely the first 2 hours while recording every intervention made by the nurse staff.
After the initial 2 hours the recording goes on the next 24 hours recording every event and intervention which lead to a doctor consult, by telephone or physically examining the patient.
Also, the investigators wish to evaluate the use of the discharge Score(Danish Society of Anaesthesia and Intensive care Medicine(DASAIM)-SCORE), which is used as the discharge score after surgery in other hospitals in Denmark, and the investigators therefore record this after surgery, and every 30 minutes after the surgery for the first 2 hours.
4,398 studies on the registry are indexed under Osteoarthritis; 582 are open to participants now.
This study's enrollment of 600 is above the median of 100 across 791 observational studies indexed under Osteoarthritis.
Browse Osteoarthritis studies →This is the only study on the registry with Niklas Ingemann Nielsen as lead sponsor.
Counted across the registry records on this site, refreshed daily.
Every patient planned for unilateral Primary Total Hip and Knee Arthroplasty and unilateral unicompartmental knee arthroplasty within a year, or until 600 patients is included.
Exclusion Criteria:
Bypassing PACU
Number of patients in need of secondary relocation to the Post Anaesthesia Care unit after knee and hip arthroplasty.
Time frame: Within the first 24 hours.
Postoperative actions and interventions by nurses within 2 hours.
Postoperative interventions carried out within the first 2 hours after surgery. These interventions will be recorded in a preformed chart. The recording will take place booth in the PACU and in the surgical ward, to thereby make a comparison of the two.
Time frame: 2 hours after surgery.
Postoperative actions and interventions within 24 hours.
Postoperative interventions and deviant events/complications that require a contact to a medical doctor, either by telephone or personal oversight, carried out within the first 24 hours after surgery. These interventions will be recorded in a preformed chart. This registration will take place where the patient is hospitalized at the current timeframe.
Time frame: 24 hours after surgery.
30 day Follow-up.
30 day follow-up after surgery, concerning readmission within 8 days after surgery, length of stay and mortality.
Time frame: 30 days
90 day Follow-up.
90 day follow-up after surgery concerning readmission and mortality.
Time frame: 90 days
Complications after surgery.
Complications after surgery, divided in medical and surgical complications with details of type of event and time of occurence as well as treatment.
Time frame: 90 days
Plan to share: Undecided — Planned sharing data upon request.
No publications or documents are linked to this record.
This study is completed, as verified in Jan 2021. You cannot join it, but the record below documents what was studied.
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