Pain medicine

The adverse effects with ibuprofen after major orthopedic surgeries: A protocol for the PERISAFE randomized clinical trial

Acta Anaesthesiol ScandPublished Protocol for a randomised controlled trial

Study context

Population
Patients undergoing elective hip or knee arthroplastyplanned sample size
Participants
2,904 patients
Planned comparison
Ibuprofen vs Placebo
Primary endpoint
Composite of:
  • Death
  • Acute MI
  • Stroke
  • PE
  • DVT
  • Renal failure
  • Major bleeding
  • Re-operation
  • Gastrointestinal ulcer
  • Readmission
Follow-up
Within 90 days postoperatively
Methodological detailsplacebo-controlled, blinded, multicentre, Allocation 1:1; 90-day and one-year follow-up, Primary analysis in modified ITT population, Secondary outcomes: hospital-free days within 90 days, composite of ibuprofen- and opioid-related adverse reactions (8-day diary), health-related quality of life after 90 days, Sample size of 2904 to demonstrate RR reduction of 33% (type I error 5%, type II error 20%, serious adverse events in ibuprofen group 8%)
  • Placebo-controlled
  • Blinded
  • Multicentre
  • Allocation 1:1; 90-day and one-year follow-up
  • Primary analysis in modified ITT population
  • Secondary outcomes: hospital-free days within 90 days, composite of ibuprofen- and opioid-related adverse reactions (8-day diary), health-related quality of life after 90 days
  • Sample size of 2904 to demonstrate RR reduction of 33% (type I error 5%, type II error 20%, serious adverse events in ibuprofen group 8%)

No results yet. This paper sets out the design of a trial; its results are to come.

Original publication

The adverse effects with ibuprofen after major orthopedic surgeries: A protocol for the PERISAFE randomized clinical trial. Acta Anaesthesiol Scand. Published 30 January 2025. doi:10.1111/aas.14578

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