Evaluating the need for physical therapy clearance before same-day discharge after joint surgery

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study investigates whether patients undergoing total joint arthroplasty (TJA) can be safely discharged on the same day without prior physical therapy (PT) clearance. The protocol involves preoperative gait training by PT, followed by discharge after ambulation with trained nursing staff. This approach aims to maximize same-day discharges, reduce hospital bed occupancy, and improve operating room efficiency. The study is conducted at the University of Maryland and the Hospital for Special Surgery, focusing on eligible patients who meet specific criteria.

Why it matters

Who can join: the full rules

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.

Where it's running

• University of Maryland
  Baltimore, Maryland, United States Recruiting
• Hospital for Special Surgery
  New York, New York, United States Not yet recruiting

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.