Clinical trial NCT03896282: Outpatient Total Joint Arthroplasty in Dedicated Daycare Facility vs Standard Patient Ward
Official title: Outpatient Total Joint Arthroplasty in Dedicated Daycare Facility vs Standard Patient Ward - a Randomized Controlled Trial
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Arthropathy of Knee
Arthropathy of Hip
Lead sponsor: Hvidovre University Hospital
Sponsor class: OTHER
First posted: 2019-03-29
Enrollment: 50
Sex: ALL
Minimum age (years): 18
Maximum age (years): 80
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The purpose of this single center randomized controlled trial (RCT) is to investigate whether outpatient arthroplasty surgery in a dedicated daycare facility will improve discharge on day of surgery, as opposed to surgery followed by subsequent stay in the ward and also same day discharge, without compromizing safety and outcome.

Detailed description: Introduction of fast-track total hip arthroplasty (THA) and total knee arthroplasty (TKA) has led to a decrease in length of stay without compromising patient safety and clinical outcome . In recent years outpatient THA and TKA has gained popularity, especially as major focus is placed on reducing cost and increasing efficiency in all medical treatments . Studies have shown outpatient arthroplasty to be feasible both for THA and TKA patients , with up to 70% of unselected patients being potentially eligible for outpatient surgery. Various results are published on success rate of discharged patients on the day of surgery, ranging from 25% to 99% , depending on patient selection and logistic setup. While the majority of published studies utilizes a modern fast-track setup with early mobilization and multimodal pain treatment, the optimal logistic setup remains unknown.

The purpose of this single center randomized controlled trial (RCT) is to investigate whether outpatient arthroplasty surgery in a dedicated daycare facility will improve discharge on day of surgery, as opposed to surgery followed by subsequent stay in the ward and also same day discharge, without compromizing safety and outcome.

Eligibility criteria: Inclusion Criteria:

* Patients with clinical and radiological osteoarthritis of the hip suitable for primary cementless THA and patients with clinical and radiological osteoarthritis of the knee suitable for primary Cruciate Retaining (CR) TKA
* Age 18-80
* American Society of Anesthesiologists (ASA) Score (1-2)
* BMI \<35
* Interested in and motivated for same day discharge
* Family or relatives to be present for \>24 hours after discharge
* Able to understand and give consent to the study

Exclusion Criteria:

* Unable to provide care at own home on day of surgery for \>24 hours after discharge

Primary outcomes:
measure: Patients discharged on day of surgery
timeFrame: 12 hours
Secondary outcomes:
measure: Patient reported outcomes
timeFrame: 3 months
measure: Readmissions
timeFrame: 3 months
measure: Patient reported outcomes
timeFrame: 3 months
measure: reoperations
timeFrame: 3 months
Other outcomes:
Locations:
city: Hvidovre
country: Denmark
facility: Dept. of Orthopaedic Surgery, Copenhagen University Hospital Hvidovre
Study officials:
References: