NCT05028426

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

Single-center Retrospective Study on Safety of Total Knee Replacement Surgery Before and After the Implementation of Enhanced Recovery Program

• Status: Completed
• Phase: —
• Study type: Observational
• Enrollment: 455 (actual)
• Sponsor: Groupe Hospitalier de la Rochelle Ré Aunis · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: —

Summary

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.

Detailed description

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

• Arthroplasty Complications

Interventions

Type	Name	Description
PROCEDURE	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.

Timeline

• Start date: 2015-01-01
• Primary completion: 2018-12-01
• Completion: 2019-10-01
• First posted: 2021-08-31
• Last updated: 2022-07-07
• Results posted: 2022-07-07

Locations

1 site across 1 country: France