The Impact of COVID-19 Pandemic on Hip and Knee Replacement

Study Overview
=================
Brief Summary
-----------------
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.

Detailed Description
-----------------
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.

Official Title
-----------------
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

Conditions
-----------------
Covid19, Hip Arthropathy, Knee Arthropathy

Intervention / Treatment
-----------------
* Other: Pandemic period


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Patients undergone hip or knee replacement for osteoarthritis Exclusion Criteria: Patients undergone hip or knee replacement for fracture, trauma or oncological diseases

Ages Eligible for Study
-----------------
Minimum Age: 18 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Pandemic group<br>Patients undergone hip and knee replacement during pandemic period (June-december 2020) | Other: Pandemic period<br>* Perioperative care (nursing and physiotherapy) provided to patients treated with hip and knee replacement during the pandemic period<br>|
| Pre-pandemic group<br>Patients undergone hip and knee replacement during the pre-pandemic period (january-march 2020) | |

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| early independence | The recovery of patients of the independence measured by ILOA score | 5 days after surgery | 
| early ambulation | The first time that the patient is able to walk with elbow crutches after surgery | during hospitalization | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| early upstairs | The first time that the patient is able to upstairs after surgery | during hospitalization | 
| Wound infection | Incidence of wound infection | during hospitalization | 
| Urinary infections | Incidence of urinary infection | during hospitalization | 
| Pressure ulcers | Incidence of pressure ulcers | during hospitalization | 
| Paralytic ileus | diagnosis or sign of paralytic ileus | during hospitalization | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Covid19 pandemic, Hip Arthropathy, Knee Arthropathy, Nursing Sensitive Outcome, Rehabilitation