Arthropathy of Hip, Perioperative/Postoperative Complications
Conditions
Brief summary
The goal of this observational study is to assess the effect of living alone on total hip arthroplasty thirty-day outcomes. The main questions it aims to answer are: Is living alone associated with discharge disposition (home versus non-home)? Is living alone associated with greater incidences of secondary adverse events? Participants will be sampled from the 2021 American College of Surgeons National Surgical Quality Improvement Program
Interventions
BEHAVIORALhome support, hiving alone
Home support: living alone
BEHAVIORALhome support, living with others
Home support: living with others
Sponsors
University of Virginia
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Elective, non-emergent cases * Living alone * Living with others
Exclusion criteria
* Fracture in surgical diagnosis * Hospital admission \>1 day preoperatively * End-stage renal disease (preoperative) * Metastatic disease (preoperative) * Sepsis (preoperative) * Bleeding diathesis (preoperative) * American Society of Anesthesiologists Physical Status Classification 5
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Discharge disposition | Thirty days | Home versus non-home |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Functional status at discharge | Thirty days | Dependent versus independent |
| Postoperative delirium | Thirty days | — |
| Hospital length of stay | Thirty days | — |
| Unplanned resource utilization | Thirty days | Unplanned readmission and return to the operating room |
| Requiring home services | Thirty days | — |
| Systemic complications | Thirty days | Cardiac arrest, myocardial infarction, stroke, reintubation, pneumonia, deep venous thrombosis, pulmonary embolism, bleeding, sepsis, septic shock, and acute kidney injury |
| Bleeding events | Thirty days | Requiring transfusion |
| Mortality | Thirty days | — |
| Wound complications | Thirty days | Superficial surgical site infection (SSI), deep incisional SSI, organ space SSI, and wound dehiscence |
Countries
United States
Outcome results
None listed