Status:
COMPLETED
Preoperative Acupuncture for Total Knee or Hip Arthroplasty
Lead Sponsor:
Hartford Hospital
Conditions:
Knee Arthropathy
Hip Arthropathy
Eligibility:
All Genders
18-85 years
Phase:
NA
Brief Summary
Open-label, randomized controlled trial to determine the effect of preoperative acupuncture on preoperative anxiety and postoperative pain for high-anxiety patients undergoing total hip or knee arthro...
Detailed Description
Acupuncture has been extensively practiced and studied worldwide, particularly as a part of Eastern medicine, but it is a relatively uncommon therapy offered in Western medical institutions, such as t...
Eligibility Criteria
Inclusion
- Female (age 52 to 85) or male (age 18-85) patients undergoing Total Knee Arthroplasty or Total Hip Arthroplasty at the Bone-and Joint Institute at Hartford Hospital
- Patients classified as high-anxiety based on having a score of \>10 on the Amsterdam Preoperative Anxiety and Information Scale (APAIS-A-T). The APAIS-A-T is a modified survey that reliably quantifies total preoperative anxiety using summed scores for anesthesia and surgery-related anxiety; a minimum score of 11 is the most accurate cutoff to identify patients with anxiety
Exclusion
- Unable to give consent
- Uncontrolled diabetes (HbA1c ≥ 8.0%)
- Infection at any of the acupuncture points
- Known allergy to metals
- Abnormal laboratory blood work values (INR\>1.5, if available; platelet count \<70,000, if available)
- Patients with active ongoing coagulopathy based on lab data (INR \>1.5) and/or on current anticoagulant use which increases bleeding risk.
- Non-English speaking
- Revision TKA or THA
- Women of reproductive age or under the age of 52 years old, as acupuncture is not recommended during pregnancy. They were excluded due to the potential conflict between our institute's standard timing for pregnancy tests on the day of surgery and the scheduled preoperative acupuncture session for the study, to avoid unwanted delays in the operating room schedule.
Key Trial Info
Start Date :
March 21 2022
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
May 3 2023
Estimated Enrollment :
60 Patients enrolled
Trial Details
Trial ID
NCT06099223
Start Date
March 21 2022
End Date
May 3 2023
Last Update
March 26 2025
Active Locations (1)
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1
Bone and Joint Institute- Hartford Hospital
Hartford, Connecticut, United States, 06106