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NCT05858086 · ClinicalTrials.gov registry record · NA
Is Physical Therapy Clearance Before Arthroplasty Home Discharge Necessary?
A NA study of Physical Therapy and Total Joint Arthroplasty, sponsored by University of Maryland, Baltimore.
- Recruiting
- Registry status
- NA
- Development phase
- 210
- Enrollment target
- 2
- Study locations
NCT05858086: Recruiting NA study of Physical Therapy and Total Joint Arthroplasty, sponsored by University of Maryland, Baltimore.
NCT05858086 is a NA study of Physical Therapy and Total Joint Arthroplasty that is actively recruiting participants, run by University of Maryland, Baltimore. The registered enrollment target is 210 participants, below the 465-participant average among 8 other Physical Therapy trials with a reported enrollment target (55% lower). The trial reports 2 study locations across 2 states. According to ClinicalTrials.gov, the official US trial registry.
The verdict
NCT05858086, a NA study of Physical Therapy and Total Joint Arthroplasty, is actively recruiting participants, sponsored by University of Maryland, Baltimore.
- RECRUITING
- Registry status
- NA
- Development phase
- 210 participants
- Enrollment target
- 2
- Study locations
Study Summary
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 home, including the last patient of the day, PT staffing limitations notwithstanding. Single-institution pilot data demonstrates no increased risk of falls, emergency room (ER) visits, or readmissions with this process. The investigators propose a prospective, controlled, multicenter study to expand on pilot data. The study aim is to assess safety of day-of-surgery preoperative PT and postoperative ambulation with PACU nursing before TJA discharge. The primary endpoint is postoperative falls, while secondary endpoints include 90-day ER visits, 90-day hospital readmissions, patient-reported outcome measures, and patient satisfaction scores.
Conditions Studied
Interventions
- OTHER Novel same-day discharge protocol after total joint arthroplasty
- OTHER Conventional postoperative physical therapy clearance
Study Locations (2)
Maryland
- University of Maryland - Baltimore
New York
- Hospital for Special Surgery - New York
Trial Details
| Field | Value |
|---|---|
| Enrollment Target | 210 participants |
| Start Date | 2024-09-27 |
| Est. Completion | 2027-12 |
| Phase | NA |
What NCT05858086 shows while recruiting
NCT05858086 is an interventional study that assigns participants to a tested intervention. The registered 210 participants enrollment target is mid-sized for trials with a published cap, below the 465-participant average among 8 other Physical Therapy trials with a reported enrollment target (55% lower).
The record links to 3 conditions, with Physical Therapy appearing as the primary indexed condition, and to 2 interventions - of which Novel same-day discharge protocol after total joint arthroplasty is the first listed.
NCT05858086 reports a single indexed study location in Maryland, New York.
Frequently Asked Questions
What is clinical trial NCT05858086 about?
NCT05858086 is a clinical study titled "Is Physical Therapy Clearance Before Arthroplasty Home Discharge Necessary?". 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 b...
What is the current status of trial NCT05858086?
This trial is currently recruiting. It is a NA study. The enrollment target is 210 participants. The study started on 2024-09-27. Estimated completion is 2027-12.
What conditions does trial NCT05858086 study?
This clinical trial studies the following conditions: Physical Therapy, Total Joint Arthroplasty, Same Day Discharge.
What interventions are being tested in trial NCT05858086?
The interventions under investigation include: Novel same-day discharge protocol after total joint arthroplasty (OTHER), Conventional postoperative physical therapy clearance (OTHER).
Who is sponsoring clinical trial NCT05858086?
This trial is sponsored by University of Maryland, Baltimore, which has 560 total clinical trials registered on ClinicalTrials.gov.
Where is trial NCT05858086 being conducted?
This trial has 2 study locations across Maryland, New York. Contact the study sites directly through ClinicalTrials.gov for enrollment availability.
Learn More About Clinical Trials
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Matched on the same primary condition, ranked to surface studies in the same phase first, then by recruiting status, no relevance scoring or editorial curation.
Where NCT05858086's enrollment target sits among peer trials
210 2nd of 8 the highest of 8 other Physical Therapy trials
participants (enrollment target), bucketed by value
Each bar is a band; taller bars hold more other Physical Therapy trials. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count and share, and where it sits relative to this entry.
Source ClinicalTrials.gov registry export · 2026-08-08
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