Safety of Total Knee Replacement Surgery Before and After the Implementation of Enhanced Recovery Program

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

455 participants

Study Classification

OBSERVATIONAL

Study Start Date

2015-01-31

Study Completion Date

2019-10-31

Brief Summary

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The objectives are to describe the transition from traditional care to an enhanced recovery program for the management of total knee arthroplasty, and to evaluate the effect on patient outcomes.

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Detailed Description

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Enhanced recovery programs are an organizational evolution in surgical patient management, in which the patient becomes an actor of his or her own recovery. This multimodal approach aims at optimizing patient physiological and psychological states across preoperative, intraoperative and postoperative domains of care.

At la Rochelle hospital, the decision to take the step happened at the end of 2016. It was proposed by a young surgeon that have been trained on this new approach during his studies and who convinced the head of the surgery department of the benefits for the patients, the healthcare workers, and the institution. The transition took place in two stages, first operative and postoperative techniques were modified, and then preoperative education and counselling were added.

Conditions

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Arthroplasty Complications

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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Traditional method of care

Patients managed according to the traditional care protocol without an enhanced recovery program

No interventions assigned to this group

Some elements of a fast-track program

operative and postoperative techniques were modified according to a fast-track program

Enhanced recovery program

Intervention Type PROCEDURE

Enhanced recovery programs are a multimodal approach to optimize patients' physiological and psychological states in the preoperative, intraoperative and postoperative care domains.

Full enhanced recovery program

Patients were managed in an enhanced recovery program (elements of the previous fast-track program were modified and preoperative education was added)

Enhanced recovery program

Intervention Type PROCEDURE

Enhanced recovery programs are a multimodal approach to optimize patients' physiological and psychological states in the preoperative, intraoperative and postoperative care domains.

Interventions

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Enhanced recovery program

Enhanced recovery programs are a multimodal approach to optimize patients' physiological and psychological states in the preoperative, intraoperative and postoperative care domains.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Patients operated on for posterior-stabilized total knee arthroplasty between January 2015 and December 2018
* unilateral arthroplasty
* a known address for mailing the study information letter