PACU Discharge Without Motorfunction Assessment After Spinal Anaesthesia

NCT ID: NCT02134496

Last Updated: 2016-11-28

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

1511 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-06-30

Study Completion Date

2015-12-31

Brief Summary

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The study investigates the safety of discharge from the Post-Anesthesia Care Unit (PACU) without assessment of motorfunction after spinal anesthesia for total hip- or knee replacement. This is an randomized controlled trial between two groups with assessment of normal (Aldrete) PACU discharge criteria with or without assessment of the motorfunction. The study hypothesis is that it is safe to be discharged from the PACU to a ward without assessment of motor function.

The main outcome is length of hospial stay (LOS) in days and re-admission within the first 30 days after surgery .

Secondary outcomes include adverse events up to 24 hours after surgery, and minuttes spent in the PACU after surgery.

Participants will be monitores for adverse events for the first 24 hours after surgery and reported. The total number of minuttes spent in the PACU will be recorded and reported.

Detailed Description

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A novel analysis of the latest database version was performed 06.04.2015, showing that 86.7% of patients have LOS of less than 5 days and no re-admission within the first 30 days after discharge.

The study is designed as a non-inferiority study with a two-sided 5% significance level, 80% power and a non-inferiority level of 5%, resulting in 2 x 725 patients (1500 in total including drop-outs).

A 30-day re-admission period was chosen to detect complications that could be assumed to have occurred as a consequence of the potential earlier PACU discharge The study will also investigate Length of stay, incidence of failed anesthesia, and reason for stay in PACU after THA and TKA 24.11.2016 A substudy based upon the un-published data from the time in PACU will be performed to analyse factors related to adverse events occuring during the PACU stay, and description of specific organdysfunction based upon the recordings from the modifed Aldrete discharge criteria.

Preoperative demographic data are collected from charts and the Lundbeck Centre for Fast-track Hip and Knee Replacement database, (LCDB), intraoperative data from anesthesia charts.

A logistic regression analysis will be performed with the YES/NO outcome of moderate/severe adverse PACU events at any time during PACU stay, and pre- and intr operatie variables.

Conditions

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Osteoarthritis Susceptibility 3

Keywords

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hip knee arthroplasty spinal anesthesia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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no assessment of motorfunction in PACU

no assessment of motorfunction after spinal anesthesia in PACU

Group Type NO_INTERVENTION

No interventions assigned to this group

motorfunction assessment in PACU

Assesment of motorfunction after spinal anesthesia

Group Type ACTIVE_COMPARATOR

assessment of motorfunction in PACU

Intervention Type PROCEDURE

assessment of motorfunction in PACU after spinal anesthesia

Interventions

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assessment of motorfunction in PACU

assessment of motorfunction in PACU after spinal anesthesia

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* age 18 yr or more
* primary unilateral total hip or knee arthroplasty
* spinal anesthesia

Exclusion Criteria

* intraoperative conversion to general anesthesia
* intraoperative bleeding exceeding 750 ml.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Rigshospitalet, Denmark

OTHER

Sponsor Role lead

Responsible Party

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Eske Kvanner Aasvang

M.D. DMSci

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Henrik Kehlet, Professor

Role: STUDY_CHAIR

Rigshospitalet, Denmark

Eske K Aasvang, M.D., DMSci

Role: PRINCIPAL_INVESTIGATOR

Rigshospitalet, Denmark

Locations

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Gentofte Hospital

Gentofte Municipality, International, Denmark

Site Status

Vejle Sygehus

Vejle, International, Denmark

Site Status

Farsø Sygehus

Farsø, , Denmark

Site Status

Holstebro Sygehus

Holstebro, , Denmark

Site Status

Viborg Hospital

Viborg, , Denmark

Site Status

Countries

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Denmark

References

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Aasvang EK, Laursen MB, Madsen J, Kroigaard M, Solgaard S, Kjaersgaard-Andersen P, Mandoe H, Hansen TB, Nielsen JU, Krarup N, Skott AE, Kehlet H. Incidence and related factors for intraoperative failed spinal anaesthesia for lower limb arthroplasty. Acta Anaesthesiol Scand. 2018 Aug;62(7):993-1000. doi: 10.1111/aas.13118. Epub 2018 Mar 26.

Reference Type DERIVED
PMID: 29578248 (View on PubMed)

Other Identifiers

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H-1-2014-012

Identifier Type: -

Identifier Source: org_study_id