Retrospective Chart Analysis in the Effective Use of FloSeal in Post-Operative Joint Replacements
Recruitment status was Not yet recruiting
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Purpose
The purpose of this analysis is to compare Hemoglobin and Hematocrit levels following total hip or knee arthroplasty. The utilization of FloSeal intraoperatively will improve hemostasis postoperatively. Decreasing bleeding time will decrease the drop in level of Hemoglobin and Hematocrit which usually occurs postoperatively.
| Condition |
|---|
|
Total Knee Arthroplasty Arthroplasty, Replacement, Hip |
| Study Type: | Observational |
| Study Design: | Time Perspective: Retrospective |
| Official Title: | Retrospective & Prospective Evaluation/Analysis of Hb/Hct in Patients Having Received FloSeal (5ml &10ml) When Undergoing Total Knee or Total Hip Arthroplasty |
| Estimated Enrollment: | 500 |
| Study Start Date: | September 2009 |
| Groups/Cohorts |
|---|
|
FloSeal - Knee - control
100 Historical Control Patients, knees - no FloSeal (retrospective)
|
|
FloSeal - Knee - 5ml
100 Patients, knees - 5mL FloSeal (retrospective)
|
|
FloSeal - Knee - 10ml
100 Patients, knees- 10mL FloSeal (prospective)
|
|
FloSeal - Hip - Control
100 Historical Control patients, hips—no FloSeal (retrospective)
|
|
FloSeal - Hip - 5ml
100 retrospective patients, hips—5mL of FloSeal (retrospective)
|
Detailed Description:
Retrospective Analysis of charts on patients having undergone Total Hip or Total Knee Arthroplasty. During the patient's hospitalization, lab values of Hg and Hct will be recorded for further analysis. Preoperative levels will be also noted to establish baselines.
Primary Data interest will be Hemoglobin (Hgb) level documented during hospitalization along with Hematocrit (HCT) and Red Blood Cell (RBC) data also collected.
Secondary Data gathered will consist of the following:
- patient Demographics
- Component Profile
- Length of Stay
- Anesthesia used
- Anesthesiologist
- EBL
- drain type
- Amount of drainage fluid recorded at 12 hour increments until discharge
- Amount of FloSeal used
Type of Arthroplasty
500 patients in Total
- 100 Historical Control Patients, knees - no FloSeal (retrospective)
- 100 Patients, knees - 5mL FloSeal (retrospective)
- 100 Patients, knees- 10mL FloSeal (prospective)
- 100 Historical Control patients, hips—no FloSeal (retrospective)
- 100 retrospective patients, hips—5mL of FloSeal (retrospective
Patients scheduled for Total Knee Arthroplasty will be asked if they wish to participate in the part of the study utilizing 10mL of FloSeal. These patient will be consented and the their data will be retrospectively gathered.
Eligibility| Ages Eligible for Study: | 18 Years to 95 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
All Dr. Velyvis's patients that have had a Total Knee or Total Hip after January 1, 2007
Inclusion Criteria:
- Total Knee and Total Hip Patients
- Surgical Time less than 2 hours
Exclusion Criteria:
- Patients who require greater than 2 hour surgeries
- Patients who are undergoing revision arthroplasty
- Patients with known allergies to materials of bovine origin
Contacts and Locations| Contact: Charles Z Cyr, BA | 760-766-1227 | ccyr@desertortho.com |
| United States, California | |
| Desert Orthopedic Center | |
| Rancho Mirage, California, United States, 92211 | |
| Principal Investigator: | John H. Velyvis,, MD | Desert Orthopedic Center |
More Information
No publications provided
| Responsible Party: | John H. Velyvis, MD, Desert Orthopedic Center Medical Research Foundation |
| ClinicalTrials.gov Identifier: | NCT00958945 History of Changes |
| Other Study ID Numbers: | FloSeal |
| Study First Received: | August 12, 2009 |
| Last Updated: | August 13, 2009 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Desert Orthopedic Center Medical Research Foundation:
|
Postoperative Hematocrit Postoperative Hemoglobin |
ClinicalTrials.gov processed this record on May 21, 2013