Hip Fractures in Chile: Implications for Public Health Policy and Healthcare Delivery

Hip Fractures Clinical Trial

Official title:

Hip Fractures in Chile: Implications for Public Health Policy and Healthcare Delivery

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT06267937
• Other study ID #: 101
• Status: Completed
• Start date: March 10, 2023
• Est. completion date: January 30, 2024

Study information

• Verified date: February 2024
• Source: University of Chile
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

Hip fractures in individuals aged 60 and above pose significant challenges in terms of morbidity, mortality, and healthcare costs. While countries like the United Kingdom and Australia have optimized their healthcare systems for timely management of hip fractures, the situation in Chile presents distinct challenges due to its mixed healthcare system. This study aims to assess survival rates following hip fractures in Chile and identify associated risk factors using national databases from 2012 to 2018. A comprehensive analysis of 35,520 patients revealed that factors such as age, type of health insurance, access to surgery, and treatment in public hospitals significantly influence mortality rates after hip fractures. The study found that patients with hip fractures experience lower 5-year survival rates compared to the general population, particularly when affiliated with public insurance and treated in public institutions. Modifiable factors like delayed surgery and prolonged hospital stays contribute to increased mortality rates. The findings underscore the urgent need for optimized public health policies and healthcare delivery systems to enhance outcomes for hip fracture patients in Chile.Hip fractures in individuals aged 60 and above pose significant challenges in terms of morbidity, mortality, and healthcare costs. While countries like the United Kingdom and Australia have optimized their healthcare systems for timely management of hip fractures, the situation in Chile presents distinct challenges due to its mixed healthcare system. This study aims to assess survival rates following hip fractures in Chile and identify associated risk factors using national databases from 2012 to 2018.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 46380
• Est. completion date: January 30, 2024
• Est. primary completion date: March 10, 2023
• Accepts healthy volunteers: No
• Gender: All
• Age group: 60 Years and older

Eligibility

Inclusion Criteria:

All patients in the national database between 2012 and 2017 which his principal was hip fracture. Diagnoses are classified using the International Classification of Diseases, 10th Revision (ICD-10) codes. A search was conducted for codes S72.0 (head and neck fracture of the femur), S72.1 (pertrochanteric fracture), and S72.2 (subtrochanteric fracture of the femur). Exclusion Criteria: missing IDs ID with inconsistent socio-demographic information. Patients with primary diagnosis of hip fracture that underwent surgery but the national code surgery was not one of the following: : 2104128, 2104129, 2104131, 2104132, 2104135, 2104228, 2104229 and 2104231

Related Conditions & MeSH terms

• Fractures, Bone
• Hip Fractures

Intervention

Procedure:
• Access to surgery
access to surgery after hip fracture

Other:
• type of intitution
public or private health care facility

Locations

Country	Name	City	State
Chile	hospital Clinico Universidad de Chile	Santiago	Region Metropolitana

Sponsors (2)

Lead Sponsor	Collaborator
University of Chile	Instituto Sistemas Complejos de Ingeniería, Universidad de Chile, Santiago, Chile

Country where clinical trial is conducted

Chile, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	survival after hip fracture	survival after hip fracture	one to five years after the hip fracture