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Venous ThromboembolismVTE-CARE-THANCT07702903

The Effect of a VTE Prevention Care Bundle in Total Hip Arthroplasty Patients

A study testing VTE Prevention Care Bundle and Standard Routine Care in people with Venous Thromboembolism and Total Hip Arthroplasty (THA), run by Murat Erten at 1 site in Turkey (Türkiye).

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

Venous thromboembolism (VTE), including deep vein thrombosis (DVT) and pulmonary embolism (PE), remains a critical and potentially life-threatening complication following total hip arthroplasty (THA). Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
VTE Prevention Care Bundle and Standard Routine Care
Could I receive a placebo?
No, everyone receives an active treatment
How many people
110 participants
Where
1 siteTurkey (Türkiye)
Study dates
17 Jun 2025to 5 Oct 2026
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients aged 18 years and older.
  • Scheduled for elective primary total hip replacement surgery.
  • Conscious, oriented, and able to communicate effectively to complete questionnaires and understand education.
  • Volunteering to participate in the study and able to provide written informed consent.
  • Physically capable of participating in early mobilization and bed exercises postoperatively.

Who cannot join

  • Previous history of Deep Vein Thrombosis (DVT) or Pulmonary Embolism (PE).
  • Known bleeding disorders or coagulation abnormalities (e.g., thrombophilia).
  • Contraindications to the use of mechanical prophylaxis/compression stockings (e.g., severe peripheral arterial disease, severe skin lesions, or leg ulcers).
  • Severe cognitive impairment, dementia, or psychiatric disorders that prevent cooperation with the study protocol and care bundle.
  • Bedridden prior to surgery or having severe neurological/musculoskeletal conditions completely preventing mobilization.

Trial locations and contacts

1 site in 1 country.

Turkey (Türkiye)1 site
  • Mardin Training and Research Hospital, Kızıltepe State Hospital

    Mardin

Other trials in Turkey (Türkiye)

About this study

Official title: Investigation of the Effect of a Venous Thromboembolism Prevention Care Bundle After Hip Arthroplasty: A Non-Randomized Controlled Study

Venous thromboembolism (VTE), including deep vein thrombosis (DVT) and pulmonary embolism (PE), remains a critical and potentially life-threatening complication following total hip arthroplasty (THA). Despite standard prophylactic measures, the incidence of VTE can be significant, highlighting the need for comprehensive and structured nursing interventions. A "care bundle" approach-a targeted set of evidence-based practices performed collectively and reliably-has been shown to improve patient outcomes and minimize complications in various clinical settings.

This non-randomized controlled clinical trial aims to investigate the effect of a specifically designed VTE Prevention Care Bundle on clinical outcomes in patients recovering from total hip arthroplasty. The central hypothesis is that the systematic implementation of this care bundle will result in optimized clinical parameters, enhanced recovery experiences, and minimized VTE risks compared to standard routine care.

Read more

Study Design and Population:

The study utilizes a quasi-experimental, non-randomized controlled design. Participants are adult patients who have undergone total hip arthroplasty. The Autar DVT Risk Assessment Scale is utilized strictly as an objective filtering tool during the patient selection process (inclusion criteria). Participants are systematically assigned to either a control group or an intervention group based on the study protocol phases.

Interventions:

Control Group: Patients receive the standard, routine orthopedic nursing care provided by the hospital, alongside the standard medical prophylaxis prescribed by their attending physicians.

Intervention Group: Patients receive the specialized VTE Prevention Care Bundle. This comprehensive bundle consists of five core components:

Education: Providing verbal and written information to the patient during the preoperative period.

Early Mobilization: Ensuring controlled ambulation and mobilization in the early postoperative period.

Exercise: Instructing and monitoring in-bed ankle-pumping exercises.

Fluid Management: Encouraging adequate hydration and closely monitoring fluid intake.

Mechanical Prophylaxis: Ensuring the correct application and continuous monitoring of elastic compression stockings.

Data Collection and Follow-up Tools:

Data is collected systematically during the inpatient stay and throughout a 90-day post-discharge period using the following tools:

Descriptive Data Form: Records demographic and clinical characteristics (age, BMI, surgical history).

Clinical Follow-up Chart: A researcher-developed form tracking leg circumference, Homan's sign, edema, erythema, vital signs, and International Normalized Ratio (INR) levels.

Comfort Scale After Hip Prosthesis: A 26-item scale used to evaluate the patient's postoperative comfort.

Newcastle Satisfaction with Nursing Care Scale: A 19-item scale evaluating patient satisfaction with the nursing care received.

Likert-Type Fear of Falling Scale: Assesses patients' fear levels during mobilization.

Post-Discharge 90-Day Follow-up Chart: A researcher-developed form utilized to monitor any hospital admissions or readmissions due to suspected VTE symptoms (leg swelling, pain, shortness of breath) during the 3-month follow-up period.

Funding Status:

A grant application for this research project has been submitted to The Scientific and Technological Research Council of Türkiye (TUBITAK) and is currently under evaluation.

Read the detailed description

Background and Rationale Venous thromboembolism (VTE), which encompasses deep vein thrombosis (DVT) and pulmonary embolism (PE), remains a critical and potentially life-threatening complication following total hip arthroplasty (THA). Despite the routine administration of standard medical prophylaxis, the incidence of VTE can still be significant. This highlights a crucial gap that can be addressed through comprehensive and structured nursing interventions. The implementation of a "care bundle"-a targeted, structured set of evidence-based practices performed collectively and reliably-has been shown to improve patient safety, optimize clinical outcomes, and minimize complications in various high-risk clinical settings.

Study Workflow and Patient Journey This non-randomized controlled clinical trial evaluates the efficacy of a specialized VTE Prevention Care Bundle tailored for patients undergoing total hip arthroplasty. The patient journey begins at the preoperative stage. Candidates are initially screened using the Autar DVT Risk Assessment Scale, which serves strictly as an objective filtering tool to ensure patients meet the precise inclusion criteria regarding their baseline VTE risk.

Eligible participants are then systematically assigned to either the control or intervention phase of the study.

In the control phase, patients receive the standard, routine orthopedic nursing care provided by the hospital ward, alongside the standard pharmacological prophylaxis prescribed by their attending physicians.

In the intervention phase, patients receive the structured VTE Prevention Care Bundle administered by the research team. This bundle is integrated into the daily nursing workflow and focuses on five core pillars: proactive preoperative education (both verbal and written), structured early mobilization, scheduled in-bed ankle-pumping exercises, strict fluid management and hydration tracking, and the continuous monitoring of mechanical prophylaxis (elastic compression stockings).

Data Collection and Longitudinal Follow-Up To accurately capture the impact of the care bundle, the study employs a rigorous 90-day longitudinal follow-up design. Data collection begins with a Descriptive Data Form to capture baseline demographics and clinical characteristics. During the inpatient period, a researcher-developed Clinical Follow-up Chart is utilized to monitor daily physiological parameters, including leg circumference, Homan's sign, localized edema, erythema, vital signs, and International Normalized Ratio (INR) levels for coagulation tracking.

The psychosocial and functional recovery of the patients is also a major focus. Validated tools, including a Postoperative Comfort Scale, a Fear of Falling Scale, and the Newcastle Satisfaction with Nursing Care Scale, are administered to comprehensively assess the patient experience during the mobilization and recovery process.

Following hospital discharge, the monitoring continues seamlessly for 3 months. A specialized Post-Discharge 90-Day Follow-up Chart is used to track the patients in their home environment. This ensures that any hospital admissions or readmissions due to suspected VTE symptoms (such as sudden leg swelling, acute pain, or shortness of breath) are accurately recorded and analyzed.

Funding Status A grant application to support the logistical and material requirements of this clinical research has been submitted to The Scientific and Technological Research Council of Türkiye (TUBITAK) and is currently under official evaluation.

Being tested
VTE Prevention Care Bundle, Standard Routine Care
Keywords
Care Bundle, Nursing Care, Orthopedic Surgery, Patient Comfort, Early Mobilization, Postoperative Care
Medical subject headings
Venous Thromboembolism, Venous Thrombosis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • VTE Prevention Care BundleOther

    The VTE Prevention Care Bundle is a comprehensive, multi-component nursing intervention designed specifically for patients undergoing hip replacement surgery. It consists of five structured components applied systematically: 1) Face-to-face patient education regarding VTE risks and preventive strategies; 2) Specific in-bed ankle-pumping and range-of-motion exercises; 3) An early and progressive mobilization protocol; 4) Guided daily fluid management; and 5) Continuous monitoring and proper application of mechanical prophylaxis (elastic compression stockings). These components are implemented collectively to synergistically reduce the risk of postoperative venous thromboembolism.

  • Standard Routine CareOther

    Patients receive standard routine orthopedic nursing care provided by the clinic, including standard physician-prescribed medical prophylaxis and routine mobilization practices, without the specific, structured elements of the VTE Prevention Care Bundle.

Study groups in NCT07702903
Study groupRoleWhat they receive
Intervention Group: Care BundleExperimentalPatients in this group receive the comprehensive VTE Prevention Care Bundle. This includes structured preoperative education, early mobilization protocols, specific in-bed exercises, guided fluid management, and continuous monitoring of mechanical prophylaxis.
Receives: Other: VTE Prevention Care Bundle
Control Group: Standard CareActive comparatorPatients in this group receive standard routine orthopedic nursing care and medical prophylaxis as prescribed by their physicians. No additional study-specific care bundle interventions are applied.
Receives: Other: Standard Routine Care

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Incidence of Venous Thromboembolism (VTE)

    The number of patients who develop symptomatic or asymptomatic Deep Vein Thrombosis (DVT) or Pulmonary Embolism (PE), as confirmed by physician diagnosis and standard diagnostic imaging methods

    Measured: Up to 90 days postoperatively

Secondary outcomes (7)
  1. Changes in Calf Circumference

    easurement of calf circumference (in centimeters) using a standard tape measure to monitor for swelling, which is a clinical sign of potential Deep Vein Thrombosis (DVT). Measurements will be taken bilaterally.

    Measured: Up to hospital discharge, an average of 3 days

  2. Incidence of Clinical Signs of DVT

    The number of patients exhibiting local clinical signs of DVT, including increased localized calf temperature, redness, and tenderness/pain in the lower extremities.

    Measured: Up to hospital discharge, an average of 3 days and at 90 days postoperatively

  3. Incidence of Clinical Signs of Pulmonary Embolism (PE)

    The number of patients exhibiting clinical signs indicative of PE, such as sudden onset shortness of breath, chest pain, coughing, or tachycardia.

    Measured: Up to hospital discharge, an average of 3 days at 90 days postoperatively

  4. Coagulation Profile (INR levels)

    International Normalized Ratio (INR) levels will be recorded from patient charts to monitor coagulation status and the effectiveness of medical prophylaxis.

    Measured: Preoperatively, and postoperatively up to hospital discharge (an average of 3 days)

  5. Post-Hip Arthroplasty Comfort Scale

    Comfort Scale After Hip Prosthesis was used. Total scores range from 26 to 130. Higher scores indicate higher levels of comfort (a better outcome).

    Measured: At hospital discharge, an average of 3 days post-surgery

  6. Newcastle Nursing Care Satisfaction Scale

    Newcastle Satisfaction with Nursing Care Scale was used. Total scores range from 19 to 95. Higher scores indicate higher levels of patient satisfaction with nursing care (a better outcome).

    Measured: At hospital discharge, an average of 3 days post-surgery

  7. Likert-Type Fear of Falling Scale

    Likert-Type Fear of Falling Scale was used. Total scores range from 1 to 4. Higher scores indicate higher levels of fear of falling (a worse outcome).

    Measured: Preoperatively and at hospital discharge (an average of 3 days post-surgery)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted14 Jul 2026
  2. Study start17 Jun 2025
  3. Primary completion15 Sep 2026 (estimated)
  4. Study completion5 Oct 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Non-randomised
Intervention model
Parallel groups
Model description
The study utilizes a non-randomized, sequential parallel-group design. To strictly prevent the risk of treatment contamination-where control group patients might observe and request the specialized care bundle interventions (such as specific education, in-bed exercise routines, and structured mobilization protocols) if placed in the same ward simultaneously-a sequential enrollment strategy was employed. First, all participants for the control group were recruited and evaluated while receiving standard routine hospital care. Following the complete enrollment for the control group phase, the intervention phase commenced. Subsequent eligible patients were then enrolled into the intervention group to receive the VTE Prevention Care Bundle. This temporal separation ensures the methodological integrity of the control group's standard care conditions and eliminates the risk of interaction bias between the two groups.
Masking
None (open label)
Enrolment
110 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07702903
Sponsor's protocol ID
HRÜ/25.11.44
Acronym
VTE-CARE-THA
Status last verified
Jul 2026
First submitted
6 Jul 2026
Last updated
14 Jul 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Individual participant data (IPD) will not be shared to strictly protect patient privacy and confidentiality. In accordance with the ethical committee approval granted for this study and data protection regulations, the raw data collected from the participants can only be accessed by the primary research team. Only aggregated, fully anonymized, and statistically analyzed data will be disseminated through academic publications, dissertation reports, and scientific presentations.

Questions about this trial

What is this clinical trial studying?

A study testing VTE Prevention Care Bundle and Standard Routine Care in people with Venous Thromboembolism and Total Hip Arthroplasty (THA), run by Murat Erten at 1 site in Turkey (Türkiye).

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 14 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Incidence of Venous Thromboembolism (VTE) (time frame: Up to 90 days postoperatively). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 Jul 2026.

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