PTA/PTGCovid: The Impact of COVID-19 Pandemic on Hip and Knee Replacement
Study Details
Study Description
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.
Condition or Disease | Intervention/Treatment | Phase |
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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.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Pandemic group Patients undergone hip and knee replacement during pandemic period (June-december 2020) |
Other: Pandemic period
Perioperative care (nursing and physiotherapy) provided to patients treated with hip and knee replacement during the pandemic period
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Pre-pandemic group Patients undergone hip and knee replacement during the pre-pandemic period (january-march 2020) |
Outcome Measures
Primary Outcome Measures
- early independence [5 days after surgery]
The recovery of patients of the independence measured by ILOA score
- early ambulation [during hospitalization]
The first time that the patient is able to walk with elbow crutches after surgery
Secondary Outcome Measures
- early upstairs [during hospitalization]
The first time that the patient is able to upstairs after surgery
- Wound infection [during hospitalization]
Incidence of wound infection
- Urinary infections [during hospitalization]
Incidence of urinary infection
- Pressure ulcers [during hospitalization]
Incidence of pressure ulcers
- Paralytic ileus [during hospitalization]
diagnosis or sign of paralytic ileus
Eligibility Criteria
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
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Istituto Ortopedico Rizzoli | Bologna | Italy | 40136 |
Sponsors and Collaborators
- Istituto Ortopedico Rizzoli
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
- Aiken LH, Sloane D, Griffiths P, Rafferty AM, Bruyneel L, McHugh M, Maier CB, Moreno-Casbas T, Ball JE, Ausserhofer D, Sermeus W; RN4CAST Consortium. Nursing skill mix in European hospitals: cross-sectional study of the association with mortality, patient ratings, and quality of care. BMJ Qual Saf. 2017 Jul;26(7):559-568. doi: 10.1136/bmjqs-2016-005567. Epub 2016 Nov 15.
- Macey ARM, Butler J, Martin SC, Tan TY, Leach WJ, Jamal B. 30-day outcomes in hip fracture patients during the COVID-19 pandemic compared to the preceding year. Bone Jt Open. 2020 Nov 2;1(7):415-419. doi: 10.1302/2633-1462.17.BJO-2020-0077.R1. eCollection 2020 Jul.
- Randau TM, Jaenisch M, Haffer H, Schömig F, Kasapovic A, Olejniczak K, Flechtenmacher J, Perka C, Wirtz DC, Pumberger M. Collateral effect of COVID-19 on orthopedic and trauma surgery. PLoS One. 2020 Sep 8;15(9):e0238759. doi: 10.1371/journal.pone.0238759. eCollection 2020.
- Shields RK, Enloe LJ, Evans RE, Smith KB, Steckel SD. Reliability, validity, and responsiveness of functional tests in patients with total joint replacement. Phys Ther. 1995 Mar;75(3):169-76; discussion 176-9.
- Wong JSH, Cheung KMC. Impact of COVID-19 on Orthopaedic and Trauma Service: An Epidemiological Study. J Bone Joint Surg Am. 2020 Jul 15;102(14):e80. doi: 10.2106/JBJS.20.00775.
- Codice AVEC 352/2021/Oss/IOR