Inpatient vs Outpatient Total Hip Replacement
Osteoarthritis
About this trial
This is an interventional health services research trial for Osteoarthritis focused on measuring cost, total hip replacement, outpatient Surgery, satisfaction, arthroplasty
Eligibility Criteria
Inclusion Criteria:
- American Society of Anaesthesiologists (ASA) score equal to or less than 3
- Have the ability to read and understand English (printed instructions are provided in English only)
- Live within a 60 minute driving distance of University Hospital (UH)
- Home / cell phone access
- An adult to accompany patient home post-operatively
- Sufficient caregiver support
Exclusion Criteria:
- Patient has significant pain management issues
- Patient / family history of anesthesia related complication(s) (e.g., malignant hyperthermia, pseudocholinesterase deficiency, airway difficulties, obstructive sleep apnea)
- Obesity that significantly impacts the patient's ability to mobilize
- Anaphylaxis to penicillin
- Significant psycho / social issues that would prevent the patient from managing at home safely
- Cognitive issues that preclude the ability to understand instructions
- Lack of an appropriate social network that can observe the patient post-operatively
Sites / Locations
- London Health Sciences Centre
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Outpatient
Inpatient
Patients in the outpatient group (same day discharge following THA) are discharged the same day following surgery. All patients are required to meet the discharge criteria to be sent home (i.e., capable of using crutches, relatively free of pain, free of nausea and vomiting, free of excess bleeding, alert and oriented, given take-home medications, and in the company of a caregiver).
Patients in the inpatient group (following day discharge following THA) stay in the hospital overnight and then are discharged home the next day. All patients are required to meet the discharge criteria to be sent home (i.e., capable of using crutches, relatively free of pain, free of nausea and vomiting, free of excess bleeding, alert and oriented, given take-home medications, and in the company of a caregiver).