The Fast-track Centre for Hip and Knee Replacement Prospective Database on Preoperative Patient Characteristics and Postoperative Complications

What this Trial Is About

Researchers are conducting a prospective study registry to collect detailed information on patients undergoing fast-track hip and knee replacement surgery in eight dedicated Danish arthroplasty departments across all five health regions in Denmark. The study aims to better understand preoperative patient characteristics, postoperative complications, and functional outcomes, focusing on the feasibility and safety of day-surgery procedures. This research builds upon a previous database and includes the development of a machine-learning algorithm to identify patients at high risk for complications based on preoperative data. Participants are grouped into three categories: those having day-surgery with discharge on the day of operation, high-risk patients who receive additional perioperative care tailored to their comorbidities, and a main fast-track group undergoing standard procedures and discharged upon meeting functional criteria. Data collected includes prescribed medications, frailty scores, pain assessments, and laboratory tests such as hemoglobin and kidney function. Each department follows a standardized fast-track protocol with dedicated staff overseeing registration and follow-up. During the study, researchers collect preoperative information and follow patients postoperatively using electronic medical records and patient questionnaires. Follow-up assessments include complication scoring systems at 7 and 90 days, health-care utilization at 30 days, and return to work questionnaires for day-surgery patients. Nurses, supported by physicians, ensure data accuracy and monitor outcomes to evaluate postoperative morbidity and the success of day-surgery within a socialized health-care system. The study started in September 2022 and will continue through 2027.

The Fast-track Centre for Hip and Knee Replacement Database