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

NCT ID: NCT02230657

Last Updated: 2015-10-21

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Study Classification: INTERVENTIONAL

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.

Conditions

Osteoarthritis of the Hip

Study Groups

Same day Discharge

Group Type: ACTIVE_COMPARATOR

Same day discharge

Intervention Type: PROCEDURE

Next day discharge

Group Type: ACTIVE_COMPARATOR

Next day discharge

Intervention Type: PROCEDURE

Interventions

Same day discharge

Intervention Type: PROCEDURE

Next day discharge

Intervention Type: PROCEDURE

Eligibility Criteria

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

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 75 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

The Anderson Orthopaedic Clinic

UNKNOWN

Sponsor Role: collaborator

Rothman Institute Orthopaedics

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Locations

Rothman Institute

Philadelphia, Pennsylvania, United States

The Anderson Orthopaedic Clinic

Alexandria, Virginia, United States

Countries

United States

Other Identifiers

WHOZ01

Identifier Type: -

Identifier Source: org_study_id