General vs Spinal in Total Joint Arthroplasty (TJA)

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversity of Miami

About this trial

The purpose of this research is to compare post-operative outcomes from patients undergoing TJA. The study team wants to learn about outcomes like length of hospital stay, post-operative pain scores, post-operative nausea, deep and superficial surgical site infection, periprosthetic fracture (a broken bone that occurs around an orthopaedic implant), implant dislocation, readmission rates, and revision rates.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patients undergoing a primary total hip or knee arthroplasty

Subjects must be capable of providing informed consent

English or Spanish speaking

Disqualifiers

Prior lumbar surgery with hardware insertion

Elevated intracranial pressure

Infection at the site of the procedure

Thrombocytopenia or coagulopathy

Trial design

Design model

Parallel

Treatments tested in this trial

  • General Anesthesia

    Procedure/Surgery

    Participants will receive a one-time general anesthesia dose during the total joint arthroplasty procedure as per standard of care.

  • Spinal Anesthesia

    Procedure/Surgery

    Participants will receive a one-time spinal anesthesia dose during the total joint arthroplasty procedure as per standard of care.

Treatment groups

2,396 Participants
are divided into 2 treatment groups
Group A: General AnesthesiaExperimental treatment 1 intervention
Group B: Spinal AnesthesiaExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Length of hospital stay

Will be measured in hours.

Time frame
Up to 72 hours.
2

Change in Patient Pain Scores as measured by the Numeric Rating Pain Scale

Score range from 0 to 10, higher score indicate higher pain scores.

Time frame
Baseline (up to 1 hour after surgery), up to 24 hours.
3

Change in Patient Nausea Scores as measured by the Conditioning Scoring Criteria

Score range from 0 to 9, higher score indicate higher nausea scores.

Time frame
Baseline (up to 1 hour after surgery), up to 24 hours.
4

Prosthetic joint infection

Will be measured by the 2018 Musculoskeletal Infection Society criteria.

Time frame
Up to 90 days.

Secondary outcomes

1

Length of surgery.

Will be measured in hours.

Time frame
Up to 2 hours.

Other outcomes

Sponsors and contacts

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