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Is Physical Therapy Clearance Before Arthroplasty Home Discharge Necessary?

RecruitingNAAges 18 Years - 90 YearsAllUniversity of Maryland, Baltimore
NCT05858086 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

Conventionally, physical therapy (PT) clearance is sought before total joint arthroplasty (TJA) discharge. However, PT staffing limitations may preclude same-day discharge in patients having surgery late in the day. Failed same-day discharge in eligible TJA patients results in unnecessary hospital bed occupancy, which increases costs, limits operating room throughput for patients requiring inpatient admission, and introduces risks associated with longer length-of-stay. In collaboration with an institutional PT department, the investigators developed a protocol for discharging same-day TJA patients without postoperative PT clearance. Immediately preoperatively, PT administers gait training. Patients are then discharged home after ambulating with post-anesthesia care unit (PACU) nurses trained by PT on postoperative mobilization. This allows for the maximum number of patients discharged h

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📋 Eligibility rules (as published)
Inclusion Criteria: * are 18 years of age or older * undergo primary THA or TKA * are eligible for same-day home discharge (friends or family available to stay at home with the patient for one week postoperatively and medically stable for discharge from PACU per anesthesia). Exclusion Criteria: * 90 years of age or older * have sleep apnea (not eligible for same-day discharge) * require overnight stay for any reason * undergo revision THA or TKA.
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What it tests

  • Novel same-day discharge protocol after total joint arthroplasty
  • Conventional postoperative physical therapy clearance
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Where

2 sites
University of Maryland
Baltimore, United States
Hospital for Special Surgery
New York, United States
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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