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| Name | Class |
|---|---|
| Hvidovre University Hospital | OTHER |
| Aarhus University Hospital | OTHER |
| Vejle Hospital | OTHER |
| Esbjerg Hospital - University Hospital of Southern Denmark |
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The purpose of the study is to determine the influence of preoperative co-morbidity in relation to increased length of stay and postoperative complications in patients receiving fast-track hip or knee replacement.
Preoperative risk assessment is well established and repeatedly demonstrated to be related to adverse postoperative outcomes regarding all organ functions. However, all evidence is based upon conventional care programs and none has been done on fast-track surgery, neither in total hip arthroplasty (THA) or total knee arthroplasty (TKA).
The purpose of this study series is therefore to evaluate the importance of conventional risk factors in an optimised fast-track TKA and THA set-up. These studies will be performed in the Lundbeck Foundation Center for fast-track THA and TKA, based on an established database, but with additional detailed risk information to be included in studies of certain types co-morbidity.
The Lundbeck Foundation Center Database prospectively registers patient characteristics and co-morbidity in all patients receiving hip and knee arthroplasty. This is done using a questionaire and with dedicated staff available to help in case of doubt regarding specific questions. Additional information is collected by scrutinizing the patients medical charts. Completeness of data has been shown to be about 95%.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Fast-track THA/TKA | Any patient receiving THA/TKA in the participating wards |
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| Measure | Description | Time Frame |
|---|---|---|
| Length of hospital stay and reasons for length of hospital stay >4days | Number of nights spend in hospital after day of surgery, including transferral between departments. Any procedure followed by more than 4 days in hospital will have review of discharge papers to determine causes of the "prolonged" admission | At discharge |
| Surgically related readmissions | Evaluation of any potentially surgery related readmission 90 days after discharge. Readmissions defined as related are defined as: Revision due to prosthesis problems, deep venous thrombosis (DVT), pulmonary embolism (PE) (verified or disproved), stroke/transitory cerebral ischaemia (TCI), possible wound infection (return to operating theatre, treatment with antibiotics only, no treatment), fractures without known trauma, falls, knee manipulation, hip dislocation, cardiac problems (acute myocardial infarction (AMI), any type of arrhythmia), pneumonia, urinary retention (UR), abdominal complications (gastric ulcer, ileus) and sequelae (rehabilitation, opioid side-effects, pain, other conditions related to surgery). Readmissions due to chronic obstructive lung disease (COPD), syncope and urinary tract infection (UTI) ≤ 30 days of primary admission | 90 days after surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Mortality 90 days after surgery | Evaluation of all deaths 90 days after surgery | 90 days after surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Co-morbidity related readmissions | Depending on the type of co-morbidity investigated, special attention and analysis of readmissions found to be related to the specific type of co-morbidity will be done | 90 days after surgery |
Inclusion Criteria:
Exclusion Criteria:
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unselected patients receiving THA or TKA
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| Name | Affiliation | Role |
|---|---|---|
| Christoffer C Joergensen, MD | Rigshospitalet, Denmark | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Himmerland Hospital | Farsø | Judland | 9640 | Denmark | ||
| Holstebro Regionalhospital |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33234944 | Derived | Ortved M, Petersen PB, Jorgensen CC, Kehlet H; Lundbeck Foundation Centre for Fast-track Hip and Knee Replacement Collaborative Group. Postoperative Morbidity and Mortality in Diabetic Patients After Fast-Track Hip and Knee Arthroplasty: A Prospective Follow-up Cohort of 36,762 Procedures. Anesth Analg. 2021 Jul 1;133(1):115-122. doi: 10.1213/ANE.0000000000005248. | |
| 33176546 |
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| OTHER |
| Regional Hospital Holstebro | OTHER |
| Naestved Hospital | OTHER |
| Bispebjerg Hospital | OTHER |
| Central Jutland Regional Hospital | OTHER |
| Aalborg University Hospital | OTHER |
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| Holstebro |
| Judland |
| 7500 |
| Denmark |
| Vejle Hospital | Vejle | Judland | 7100 | Denmark |
| Hvidovre Hospital | Hvidovre | Region Sjælland | 2650 | Denmark |
| Bispebjerg University Hospital | Copenhagen | Denmark |
| Gentofte University Hospital | Gentofte Municipality | Denmark |
| Næstved Hospital | Næstved | Denmark |
| Jorgensen CC, Gromov K, Petersen PB, Kehlet H; Lundbeck Foundation Centre for Fast-track Hip and Knee Replacement Collaborative Group. Influence of day of surgery and prediction of LOS > 2 days after fast-track hip and knee replacement. Acta Orthop. 2021 Apr;92(2):170-175. doi: 10.1080/17453674.2020.1844946. Epub 2020 Nov 12. |
| 31256778 | Derived | Petersen PB, Jorgensen CC, Kehlet H; Lundbeck Foundation Center for Fast-track Hip and Knee Replacement collaborative group. Temporal trends in length of stay and readmissions after fast-track hip and knee arthroplasty. Dan Med J. 2019 Jul;66(7):A5553. |
| 26758264 | Derived | Jorgensen CC, Petersen MA, Kehlet H; Lundbeck Foundation Centre for Fast-Track Hip and Knee Replacement Collaborative Group. Preoperative prediction of potentially preventable morbidity after fast-track hip and knee arthroplasty: a detailed descriptive cohort study. BMJ Open. 2016 Jan 12;6(1):e009813. doi: 10.1136/bmjopen-2015-009813. |