A Prospective, Randomized Trial Comparing Same Day Discharge and Overnight Hospital Stay Among Total Hip Arthroplasties Done by the Direct Anterior Approach

• Sponsor: Rothman Institute Orthopaedics (Other)
• Overall Status: Completed
• CT.gov ID: NCT02230657
• Collaborator: The Anderson Orthopaedic Clinic (Other)
• Locations: 2
• Arms: 2

Study Details

Study Description

Brief Summary

The purpose of this study is to identify differences in satisfaction, pain and length of stay between patients undergoing hip replacement who are discharged from the hospital on the day of surgery compared to patients who stay one night in the hospital.

Condition or Disease	Intervention/Treatment	Phase
Osteoarthritis of the Hip	Procedure: Same day discharge; Procedure: Next day discharge	N/A

Study Design

• Study Type: Interventional
• Official Title: A Prospective, Randomized Trial Comparing Same Day Discharge and Overnight Hospital Stay Among Total Hip Arthroplasties Done by the Direct Anterior Approach
• Actual Primary Completion Date: Aug 1, 2015

Arms and Interventions

Arm	Intervention/Treatment
Active Comparator: Same day Discharge	Procedure: Same day discharge
Active Comparator: Next day discharge	Procedure: Next day discharge

Outcome Measures

Primary Outcome Measures

1. Patient Satisfaction [Discharge through 30 days post-op]

Eligibility Criteria

Criteria

• Ages Eligible for Study: 18 Years to 75 Years
• Sexes Eligible for Study: All
• Accepts Healthy Volunteers: No

Inclusion Criteria:

• Primary THA without acute hip fracture or prior hardware that would need to be removed at the time of surgery

• Unilateral THA

• Pre-operative Body Mass Index (BMI) < 40 kg/m2

• Age < 75 years at time of surgery

• Pre-operative hemoglobin > 10 g/dL if pre-operative hemoglobin data is available

• No history of cardiopulmonary disease that would necessitate inpatient monitoring after surgery

• Pre-operative ambulatory status does not require the use of a walker or wheelchair

• No chronic pre-operative opioid medication use or opioid addiction

• Assistance available at home after discharge from hospital

• No other condition or circumstance that would preclude rapid discharge from the hospital after surgery

• Subject's English proficiency allows understanding of study and Informed Consent

• Subject consented to participate in this study

Exclusion Criteria:

• Revision THA

• Bilateral THA

• Pre-operative BMI ≥ 40 kg/m2

• Age ≥ 75 at time of surgery

• Pre-operative hemoglobin ≤ 10 g/dL if pre-operative hemoglobin data is available

• History of cardiopulmonary disease requiring acute inpatient monitoring

• Pre-operative ambulatory status requiring the use of a walker or wheelchair

• Chronic pre-operative opioid medication use or opioid addiction

• Limited or no assistance available at home after discharge from hospital

• Any other condition or circumstance that would preclude rapid discharge from the hospital

• Subject not proficient in English

• Subject did not consent to participate in this study

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	Rothman Institute	Philadelphia	Pennsylvania	United States	19107
2	The Anderson Orthopaedic Clinic	Alexandria	Virginia	United States	22306

Sponsors and Collaborators

• Rothman Institute Orthopaedics
• The Anderson Orthopaedic Clinic

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

• Responsible Party: Rothman Institute Orthopaedics
• ClinicalTrials.gov Identifier: NCT02230657
• Other Study ID Numbers: WHOZ01
• First Posted: Sep 3, 2014
• Last Update Posted: Oct 21, 2015
• Last Verified: Oct 1, 2015

• Additional relevant MeSH terms: Osteoarthritis, Hip

Study Results

No Results Posted as of Oct 21, 2015