Arthroplasty, Recovery of Function, Sleep Quality
Conditions
Brief summary
To evaluate the influence of rapid recovery on sleep quality following total hip replacement surgery
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* 1\. Primary unilateral total hip arthroplasty; * 2\. Patients with hip osteoarthritis,rheumatoid arthritis or femoral head necrosis; * 3\. Able and willing to provide signed informed consent.
Exclusion criteria
* 1\. Simultaneously bilateral total hip arthroplasty or revision case; * 2\. Surgical History of the hip joint; * 3\. Hip joint cavity paracentesis in recent 3 months; * 4\. Stiffness with hip; * 5\. Blood coagulation disorders; * 6\. History of deep venous thrombosis; * 7\. Concomitant medical problems such as uncontrolled hypertension, severe cardiovascular disorder, chronic obstructive pulmonary disease, liver or renal failure * 8\. Allergic to NSAIDs, opioid analgesics, zolpidem * 9\. Sleep apnea, Parkinson disease, dementia, depression * 10\. Use of sedatives or hypnotics * 11\. Unable to comply with polysomnographic measurement
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| To evaluate the pain, stiffness and joint function of operated limb by McMaster Universities Osteoarthritis Index(WOMAC) | 6 months | To evaluate the function and structure of hip joint from the aspect of pain, stiffness and joint function |
| To evaluate the anxiety of patients post-operation by Generalized Anxiety Disorder scale-7 (GAD-7) | 6 months | — |
| To evaluate the sleep quality of patients post-operation by Pittsburgh Sleep Quality Index (PSQI) | 6 months | — |
| Insomnia severity index | 6 months | — |
| To evaluate the health related quality of life of patients post-operation by the 12-items Short Form Health Survey (SF-12) | 6 months | — |
| To evaluate the pain severity of patients post-operation by Visual Analogue Scale (VAS) Pain Score | 6 months | — |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| To evaluate the range of motion (ROM) of operated hip | 6 months | ROM of operated hips post-operation |
| Length of hospital stay | 3 months | — |
| Number of dressing changes | 1 month | Number of dressing changes post-operation |
| C Reactive Protein (CRP) | 6 months | — |
| Haemoglobin | 6 months | Pre-operation and post-operation haemoglobin |
| Number of Blood transfusion cases | 1 month | — |
| Blood transfusion volume | 1 month | — |
| Hematocrit | 6 months | Pre-operation and post-operation hematocrit |
| Erythrocyte Sedimentation Rate (ESR) | 6 months | — |
| To evaluate the quadriceps strength according to grade division standard published by British Medical Research Council | 6 months | — |
| To evaluate the swelling of operated limb by measure the thigh girth increment | 6 months | Calculated by operated limb thigh girth increment post-operation |
| To evaluate the operation satisfaction of patients by Visual Analogue Scale (VAS) Satisfaction Score | 6 months | — |
| To evaluate the function of operated limb by Harris hip score (HHS) | 6 months | — |
Countries
China