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.
Study Type
OBSERVATIONAL
Enrollment
600
Perioperative care (nursing and physiotherapy) provided to patients treated with hip and knee replacement during the pandemic period
Istituto Ortopedico Rizzoli
Bologna, Italy
early independence
The recovery of patients of the independence measured by ILOA score
Time frame: 5 days after surgery
early ambulation
The first time that the patient is able to walk with elbow crutches after surgery
Time frame: during hospitalization
early upstairs
The first time that the patient is able to upstairs after surgery
Time frame: during hospitalization
Wound infection
Incidence of wound infection
Time frame: during hospitalization
Urinary infections
Incidence of urinary infection
Time frame: during hospitalization
Pressure ulcers
Incidence of pressure ulcers
Time frame: during hospitalization
Paralytic ileus
diagnosis or sign of paralytic ileus
Time frame: during hospitalization
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