Fast Track Hip Fracture - an Optimized Pathway for Hip Fracture Patients

Hip Fractures Clinical Trial

Official title:

Influence of a Fast Track Pathway for Hip Fracture Patients on Mortality and Quality of Life

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02986399
• Other study ID #: 284907
• Status: Completed
• Phase: N/A
• First received: December 6, 2016
• Last updated: February 2, 2018
• Start date: January 1, 2012
• Est. completion date: September 14, 2017

Study information

• Verified date: February 2018
• Source: University Hospital, Akershus
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

The study examines if the introduction of a fast track pathway for hip fracture patients had an influence on mortality and quality of life by comparing these outcomes between all hip fracture patients operated at Akershus University Hospital two years before and two years after this change in standard care.

Description:

The Norwegian hip fracture register prospectively collects data on all hip fracture patients including, among others, time to surgery, type of fracture, type of surgery and American Society of Anesthesiologists (ASA) score. The register also collects quality of life data 4 and 12 months after surgery. Using the unique Norwegian personal identification number the data from the Norwegian hip fracture register will be connected with data from the electronic patient record at Akershus University hospital (AHUS). Fast track surgery for hip fracture patients was introduced at the end of 2013. Mortality and quality of life data will be compared for all hip fracture patients operated at AHUS two years before and two years after this change in standard care. The combined data from the register and the electronic patient records will be used for regression analysis.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 2495
• Est. completion date: September 14, 2017
• Est. primary completion date: September 14, 2017
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Operated at Akershus university hospital for a hip fracture (neck of femur, trochanteric, subtrochanteric) in 2012, 2013, 2014 or 2015

• 18 years or older

Exclusion Criteria:

• stress fracture

Related Conditions & MeSH terms

• Fractures, Bone
• Hip Fractures

Intervention

Other:
• Fast track patient pathway
Admittance: Ambulance - Radiology - Orthopaedic ward. Focus on preoperative information, stress reduction, pain relief, early mobilization and nutritional status.

Locations

Country	Name	City	State
n/a

Sponsors (2)

Lead Sponsor	Collaborator
University Hospital, Akershus	Haukeland University Hospital

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	30 day mortality rate	Percentage of patients who die within 30 days from hip fracture surgery	Within 30 days from surgery
Secondary	1 year mortality rate	Percentage of patients who die within 1 year from hip fracture surgery	Within 1 year from surgery
Secondary	Quality of life	Quality of life measured by EQ-5D	4 and 12 months from surgery
Secondary	Readmissions	Unscheduled, all-cause readmission within 30 days from discharge from the index admission	Within 30 days from discharge
Secondary	Postoperative infection	Superficial and / or deep surgical site infection	Within 1 year from surgery
Secondary	Re-operation	All-cause re-operation at the site of the index surgery	Within 1 year from surgery