Postoperative Outcomes Within Enhanced Recovery After Surgery Protocol in Elective Total Hip and Knee Arthroplasty. POWER.2 Study: Study Protocol for a Prospective, Multicentre, Observational Cohort Study [Turk J Anaesthesiol Reanim]
Turk J Anaesthesiol Reanim. 2019; 47(3): 179-186 | DOI: 10.5152/TJAR.2019.87523  

Postoperative Outcomes Within Enhanced Recovery After Surgery Protocol in Elective Total Hip and Knee Arthroplasty. POWER.2 Study: Study Protocol for a Prospective, Multicentre, Observational Cohort Study

Javier Ripollés-melchor1, Ane Abad-motos1, Margarita Logroño-Egea2, César Aldecoa3, José Antonio García-Erce4, Ignacio Jiménez-López5, Concepción Cassinello-Ogea6, Oliver Marín-Pena7, Carlos Ferrando-Ortolá8, Alejandro Suárez De La Rica9, Manuel A. Gómez-Rios10, Rubén Sánchez-Martín11, Alfredo Abad-Gurumeta12, Rubén Casans-Francés13, Ana Mugarra-Llopis14, Marina Varela-Durán15, Javier Longás-Vailén16, Álvaro Ramiro-Ruiz17, Ana B. Cuellar-martínez18, José M. Ramírez-Rodríguez19, José M. Calvo-Vecino20
1Department of Anesthesia and Critical Care, Infanta Leonor University Hospital, Madrid, SpainDepartment of Anaesthesia and Critical Care, Infanta Leonor University Hospital, Madrid, Spain; Universidad Complutense de Madrid, Madrid, Spain; Spanish Perioperative Audit and Research Network (REDGERM), Spain; Grupo Español de Rehabilitación Multimodal (GERM), Enhanced Recovery After Surgery (ERAS) Spain Chapter, Spain
2Spanish Perioperative Audit and Research Network (REDGERM), Spain; Department of Anaesthesia and Perioperative Medicine, Alava University Hospital, Alava, Spain;
3Spanish Perioperative Audit and Research Network (REDGERM), Spain Spanish Perioperative Audit and Research Network (REDGERM), Spain; Grupo Español de Rehabilitación Multimodal (GERM), Enhanced Recovery After Surgery (ERAS) Spain Chapter, Spain; Department of Anaesthesia and Perioperative Medicine, Río Hortega University Hospital, Valladolid, Spain
4Spanish Perioperative Audit and Research Network (REDGERM), Spain; Grupo Español de Rehabilitación Multimodal (GERM), Enhanced Recovery After Surgery (ERAS) Spain Chapter, Spain; Blood and Tissue Bank of Navarra, Servicio Navarro de Salud-Osasunbidea, Pamplona, Navarra, Spain; Anaemia Working Group Spain (AWGE), Spain
5Department of Anaesthesia and Critical Care, Hospital Universitario Virgen del Rocío, Sevilla, Spain
6Department of Anaesthesia and Critical Care, Hospital Universitario Miquel Servet, Zaragoza, Spain
7Department of Hip-Knee Orthopaedic Surgery, Infanta Leonor University Hospital, Madrid, Spain
8Anaemia Working Group Spain (AWGE), SpainSpanish Perioperative Audit and Research Network (REDGERM), Spain; Grupo Español de Rehabilitación Multimodal (GERM), Enhanced Recovery After Surgery (ERAS) Spain Chapter, Spain; Department of Anaesthesia and Perioperative Medicine, Hospital Clínic Universitat de Barcelona, Barcelona, Spain; CIBER Enfermedades Respiratorias, Instituto Carlos III, Madrid, Spain
9Spanish Perioperative Audit and Research Network (REDGERM), Spain; Grupo Español de Rehabilitación Multimodal (GERM), Enhanced Recovery After Surgery (ERAS) Spain Chapter, Spain; Department of Anaesthesia and Critical Care, La Paz University Hospital, Madrid, Spain
10Department of Anaesthesia and Critical Care, Hospital Universitario Miquel Servet, Zaragoza, SpainGrupo Español de Rehabilitación Multimodal (GERM), Enhanced Recovery After Surgery (ERAS) Spain Chapter, Spain; Department of Anaesthesia and Critical Care, Hospital Universitario de A Coruña, Spain
11Department of Hip-Knee Orthopaedic Surgery, Infanta Leonor University Hospital, Madrid, SpainGrupo Español de Rehabilitación Multimodal (GERM), Enhanced Recovery After Surgery (ERAS) Spain Chapter, Spain; Department of Anaesthesia and Critical Care, Hospital Universitario Clínico San Carlos, Madrid, Spain
12Department of Anaesthesia and Critical Care, Infanta Leonor University Hospital, Madrid, Spain; Universidad Complutense de Madrid, Madrid, Spain; Grupo Español de Rehabilitación Multimodal (GERM), Enhanced Recovery After Surgery (ERAS) Spain Chapter, Spain
13Spanish Perioperative Audit and Research Network (REDGERM), Spain; Grupo Español de Rehabilitación Multimodal (GERM), Enhanced Recovery After Surgery (ERAS) Spain Chapter, Spain; Department of Anaesthesia and Critical Care, Infanta Elena University Hospital, Valedemoro, Spain
14Department of Anaesthesia and Critical Care, La Paz University Hospital, Madrid, SpainDepartment of Anaesthesia and Perioperative Medicine, Hospital Clínico Universitario de Valencia, Valencia, Spain
15Spanish Perioperative Audit and Research Network (REDGERM), Spain; Department of Anaesthesia and Critical Care, Complejo Hospitalario Universitario de Pontevedra, Hospital de Montecelo, Pontevedra, Spain
16Department of Anaesthesia and Critical Care, Hospital Universitario Clínico San Carlos, Madrid, Spain Spanish Perioperative Audit and Research Network (REDGERM), Spain; Department of Anaesthesia and Perioperative Medicine, Lozano Blesa University Hospital, Zaragoza, Spain
17Department of Anaesthesia and Critical Care, Hospital Universitario 12 de Octubre, Madrid, Spain
18Spanish Perioperative Audit and Research Network (REDGERM), Spain; Grupo Español de Rehabilitación Multimodal (GERM), Enhanced Recovery After Surgery (ERAS) Spain Chapter, Spain; Department of Anaesthesia and Perioperative Medicine, Hospital Universitario Central de Asturias, Oviedo, Spain
19Spanish Perioperative Audit and Research Network (REDGERM), Spain; Grupo Español de Rehabilitación Multimodal (GERM), Enhanced Recovery After Surgery (ERAS) Spain Chapter, Spain; Department of General Surgery, Lozano Blesa University Hospital, Zaragoza, Spain
20Spanish Perioperative Audit and Research Network (REDGERM), Spain; Grupo Español de Rehabilitación Multimodal (GERM), Enhanced Recovery After Surgery (ERAS) Spain Chapter, Spain; Department of Anesthesia and Critical Care, Complejo Asistencial Universitario de Salamanca, Salamanca, Spain

Objective: The number of indications for total hip replacement (THR) and total knee replacement (TKR) surgery is increasing. Enhanced recovery after surgery (ERAS) represents the next step in the evolution of standardised care. The primary aim of this study is to measure the in-hospital 30-day medical and surgical postoperative complications rate. The study’s secondary aims are to determine the length of stay, 30-day mortality rate, 30-day reoperation and readmission rates, the ERAS overall compliance and predefined ERAS individual items compliance.
Methods: This multicentre, prospective, observational study will include adult patients (aged >18 years) undergoing elective THR and TKR surgery. Consecutive patients undergoing surgery within the 2-month data collection period will be included. Centres that offer the THR and/or TKR surgery will be eligible to participate. The data collection will be done through an online data collection form via a secure, password-protected platform at each centre with predefined data fields.
Results: Ethical approval for this study has been obtained from the Comité de Ética de la Investigación de la Comunidad Autónoma de Aragón (C.P.-C.I. PI18/135; on 23 May 2018). It was prospectively registered on 27 June 2018, at www.clinicaltrials.gov with identification no. NCT03570944.
Conclusion: The study will be disseminated through the SPARN-RedGERM, SEDAR, GERM and through social media. Peer-reviewed publications will be published under corporate authorship, including POWER.2 Study Group and SPARN-RedGERM.

Keywords: Arthroplasty, arthroplasty, follow-up studies, hip, knee, outcome and process assessment (health care), replacement


Supplementary Material



Javier Ripollés-melchor, Ane Abad-motos, Margarita Logroño-Egea, César Aldecoa, José Antonio García-Erce, Ignacio Jiménez-López, Concepción Cassinello-Ogea, Oliver Marín-Pena, Carlos Ferrando-Ortolá, Alejandro Suárez De La Rica, Manuel A. Gómez-Rios, Rubén Sánchez-Martín, Alfredo Abad-Gurumeta, Rubén Casans-Francés, Ana Mugarra-Llopis, Marina Varela-Durán, Javier Longás-Vailén, Álvaro Ramiro-Ruiz, Ana B. Cuellar-martínez, José M. Ramírez-Rodríguez, José M. Calvo-Vecino. Postoperative Outcomes Within Enhanced Recovery After Surgery Protocol in Elective Total Hip and Knee Arthroplasty. POWER.2 Study: Study Protocol for a Prospective, Multicentre, Observational Cohort Study. Turk J Anaesthesiol Reanim. 2019; 47(3): 179-186

Corresponding Author: Javier Ripollés-melchor, Spain


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