The purpose of this study is to evaluate the feasibility of postoperative home monitoring for patients undergoing outpatient knee- or hip arthroplasty; discharged on the same day as surgery; less than 12-hour hospital stay.We hypothesise that a…
ID
Source
Brief title
Condition
- Joint disorders
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Primary Objective:
The primary outcome is the mean percentage of successful wireless transmissions
from home of blood pressure (BP) levels, heart rate (HR), respiratory rate
(RR), oxygen saturation (SpO2) levels, temperature and pain score up to and
including postoperative day 4 with a feasibility target of >=90%.
Secondary outcome
Secondary Objective:
Patient satisfaction measured with a patient satisfaction survey (5- point
Likert scale)
Tertiary Objective:
Cost effectiveness. A cost analysis will be conducted by the Diakonessenhuis
Finance Department.
Background summary
The introduction of fast-track protocols and multidisciplinary perioperative
care strategies have shortened the length of stay (LOS) after total joint
arthroplasty (TJA) significantly over the last 10 years. Outpatient surgery for
hip- and knee prosthesis is now feasible for an estimated 15-20% of patients.
However, these are mainly strictly selected young and healthy patients without
comorbidities. We have reasons to believe that home monitoring and real-time
interactive support will make outpatient TJA possible for a significantly
larger group of patients without increase of complications and readmissions.
Furthermore, we expect patient satisfaction will be high and that total care
costs will be reduced.
Study objective
The purpose of this study is to evaluate the feasibility of postoperative home
monitoring for patients undergoing outpatient knee- or hip arthroplasty;
discharged on the same day as surgery; less than 12-hour hospital stay.
We hypothesise that a wireless system is feasible for monitoring patients at
home postoperatively combining it with real-time interactive support by a
response team in our hospital.
Study design
The HORATIO-study is a prospective observational study
Study burden and risks
Risks:
Falls
Disconnection with patient at home/no data transfer
Readmission in hopsital
Emergency department visit
Benefits:
faster revalidation
Better (real-time) communication with hospital
Rapidly back home in own environment, al own pace and surrounded by family or
loved ones
Cost effectiveness
Jagersingel 1
Zeist 3707HL
NL
Jagersingel 1
Zeist 3707HL
NL
Listed location countries
Age
Inclusion criteria
Primary unilateral THA, TKA or UKA
Preoperative body mass index (BMI)<40 kg/m2
Age 18-75 years at the time of surgery
Exclusion criteria
ASA score IV
Revised cardiac risk score > 2
Predictive Postoperative Nausea and Vomiting (Apfel) score > 2
Cognitive impairment (e.g. Dementia)
Use of psychopharmaceutical medicine
Chronic obstructive pulmonary disease with FEV1 <= 1
Obstructive sleep apnoea
Design
Recruitment
Medical products/devices used
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL77324.100.21 |