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During the COVID-19 pandemic, the care of patients undergoing hip or knee replacement for osteoarthritis remains a clinical priority. To date, there is limited empirical knowledge about the impact of pandemic on the care of patients surgically treated for orthopaedic diseases, affected or not by COVID-19.
The aim of the present study is to describe and investigate the effects of the COVID-19 pandemic on the nursing-sensitive and rehabilitation outcomes of patients undergoing hip and knee replacement.
From hospital electronic registry of patients will be possible to screen the patients eligible for the study.
From each electronic patients record, health professional researchers will be responsable to collect data.
Variables about nursing and physiotherapy care, the staffing activities and the outcome achieved by the patients will be collected.
To investigate the impact of COVID-19 pandemic, data of the pandemic period (june-december 2020), will be compared with the data of the same year pre-pandemic (january-march 2020). During the period from april to may 2020, only orthopaedic surgery for emergency trauma or disease was allowed.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Pandemic group | Patients undergone hip and knee replacement during pandemic period (June-december 2020) |
| |
| Pre-pandemic group | Patients undergone hip and knee replacement during the pre-pandemic period (january-march 2020) |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Pandemic period | Other | Perioperative care (nursing and physiotherapy) provided to patients treated with hip and knee replacement during the pandemic period |
|
| Measure | Description | Time Frame |
|---|---|---|
| early independence | The recovery of patients of the independence measured by ILOA score | 5 days after surgery |
| early ambulation | The first time that the patient is able to walk with elbow crutches after surgery | during hospitalization |
| Measure | Description | Time Frame |
|---|---|---|
| early upstairs | The first time that the patient is able to upstairs after surgery | during hospitalization |
| Wound infection | Incidence of wound infection |
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Inclusion Criteria:
Patients undergone hip or knee replacement for osteoarthritis
Exclusion Criteria:
Patients undergone hip or knee replacement for fracture, trauma or oncological diseases
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Consecutive patients undegone hip or knee replacement for osteoarthrits during 2020
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Istituto Ortopedico Rizzoli | Bologna | 40136 | Italy |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28626086 | Background | Aiken LH, Sloane D, Griffiths P, Rafferty AM, Bruyneel L, McHugh M, Maier CB, Moreno-Casbas T, Ball JE, Ausserhofer D, Sermeus W; RN4CAST Consortium. Nursing skill mix in European hospitals: cross-sectional study of the association with mortality, patient ratings, and quality of care. BMJ Qual Saf. 2017 Jul;26(7):559-568. doi: 10.1136/bmjqs-2016-005567. Epub 2016 Nov 15. | |
| 32898179 |
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| ID | Term |
|---|---|
| D000086382 | COVID-19 |
| ID | Term |
|---|---|
| D011024 | Pneumonia, Viral |
| D011014 | Pneumonia |
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
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| during hospitalization |
| Urinary infections | Incidence of urinary infection | during hospitalization |
| Pressure ulcers | Incidence of pressure ulcers | during hospitalization |
| Paralytic ileus | diagnosis or sign of paralytic ileus | during hospitalization |
| Background |
| Randau TM, Jaenisch M, Haffer H, Schomig F, Kasapovic A, Olejniczak K, Flechtenmacher J, Perka C, Wirtz DC, Pumberger M. Collateral effect of COVID-19 on orthopedic and trauma surgery. PLoS One. 2020 Sep 8;15(9):e0238759. doi: 10.1371/journal.pone.0238759. eCollection 2020. |
| 32675668 | Background | Wong JSH, Cheung KMC. Impact of COVID-19 on Orthopaedic and Trauma Service: An Epidemiological Study. J Bone Joint Surg Am. 2020 Jul 15;102(14):e80. doi: 10.2106/JBJS.20.00775. |
| 33215132 | Background | Macey ARM, Butler J, Martin SC, Tan TY, Leach WJ, Jamal B. 30-day outcomes in hip fracture patients during the COVID-19 pandemic compared to the preceding year. Bone Jt Open. 2020 Nov 2;1(7):415-419. doi: 10.1302/2633-1462.17.BJO-2020-0077.R1. eCollection 2020 Jul. |
| 7870749 | Background | Shields RK, Enloe LJ, Evans RE, Smith KB, Steckel SD. Reliability, validity, and responsiveness of functional tests in patients with total joint replacement. Phys Ther. 1995 Mar;75(3):169-76; discussion 176-9. doi: 10.1093/ptj/75.3.169. |
| D014777 |
| Virus Diseases |
| D018352 | Coronavirus Infections |
| D003333 | Coronaviridae Infections |
| D030341 | Nidovirales Infections |
| D012327 | RNA Virus Infections |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |