Covid19, Hip Arthropathy, Knee Arthropathy
Conditions
Keywords
Covid19 pandemic, Hip Arthropathy, Knee Arthropathy, Nursing Sensitive Outcome, Rehabilitation
Brief summary
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.
Detailed description
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.
Interventions
OTHERPandemic period
Perioperative care (nursing and physiotherapy) provided to patients treated with hip and knee replacement during the pandemic period
Sponsors
Istituto Ortopedico Rizzoli
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Patients undergone hip or knee replacement for osteoarthritis
Exclusion criteria
Patients undergone hip or knee replacement for fracture, trauma or oncological diseases
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| early independence | 5 days after surgery | The recovery of patients of the independence measured by ILOA score |
| early ambulation | during hospitalization | The first time that the patient is able to walk with elbow crutches after surgery |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Urinary infections | during hospitalization | Incidence of urinary infection |
| early upstairs | during hospitalization | The first time that the patient is able to upstairs after surgery |
| Paralytic ileus | during hospitalization | diagnosis or sign of paralytic ileus |
| Pressure ulcers | during hospitalization | Incidence of pressure ulcers |
| Wound infection | during hospitalization | Incidence of wound infection |
Countries
Italy
Outcome results
None listed