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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT03130673
Other study ID # HRRH
Secondary ID
Status Completed
Phase
First received
Last updated
Start date September 1, 2014
Est. completion date December 31, 2017

Study information

Verified date February 2019
Source Hospital del Niño "Dr. José Renán Esquivel"
Contact n/a
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

An observational study using the information records at the Hospital Regional Rafael Hernandez, in Chiriqui, Panama, that will help to analyze the epidemiology and early treatments results of hip fracture patients treated in this institution.


Description:

Hip fractures are a major public health concern due to increasing ageing of the population, rising costs and associated morbidity and mortality. The problem is more serious in developing countries, because of limited economic and technical resources available. The aim of the following study is to analyze the epidemiology and early treatment results of hip fracture patients treated in our unit.

This study will be done at the Hospital Rafael Hernandez Regional Hospital, a third level facility located in the province of Chiriqui, Republic of Panama. It is a retrospective observational study.

For this the study will use the hospital records, including imaging studies were reviewed, including the Singh Index, and all relevant data will be analyzed with SPSS 21 software.


Recruitment information / eligibility

Status Completed
Enrollment 104
Est. completion date December 31, 2017
Est. primary completion date September 30, 2017
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria:

- All hip fractures

Exclusion Criteria:

- All other fractures and no recorded survey

Study Design


Related Conditions & MeSH terms


Locations

Country Name City State
Panama Panama Children Hospital Panama

Sponsors (1)

Lead Sponsor Collaborator
Hospital del Niño "Dr. José Renán Esquivel"

Country where clinical trial is conducted

Panama, 

References & Publications (45)

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Dhanwal DK, Dennison EM, Harvey NC, Cooper C. Epidemiology of hip fracture: Worldwide geographic variation. Indian J Orthop. 2011 Jan;45(1):15-22. doi: 10.4103/0019-5413.73656. — View Citation

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Etxebarria-Foronda I, Mar J, Arrospide A, Ruiz de Eguino J. [Cost and mortality associated to the surgical delay of patients with a hip fracture. Spain]. Rev Esp Salud Publica. 2013 Nov-Dec;87(6):639-49. doi: 10.4321/S1135-57272013000600008. Spanish. — View Citation

Glenn, V. (2006). International Data Base (IDB) 2006, 188 International Data Base (IDB). URL: http://www.census.gov/ipc/www/idbnew.html: International Programs Center, US Census Bureau Last visited November 2005. Reference Reviews, 20(4), 19-19.

Jiménez C, Camacho D, Sepúlveda M. (2013) Aproximación epidemiológica de las fracturas de cadera en Chile. Rev Chil Ortop Traumatol 54 (3): 126-30.

Kanis JA, Odén A, McCloskey EV, Johansson H, Wahl DA, Cooper C; IOF Working Group on Epidemiology and Quality of Life. A systematic review of hip fracture incidence and probability of fracture worldwide. Osteoporos Int. 2012 Sep;23(9):2239-56. Epub 2012 M — View Citation

Karampampa K, Andersson T, Drefahl S, Ahlbom A, Modig K. Does improved survival lead to a more fragile population: time trends in second and third hospital admissions among men and women above the age of 60 in Sweden. PLoS One. 2014 Jun 9;9(6):e99034. doi: 10.1371/journal.pone.0099034. eCollection 2014. — View Citation

Khan SK, Shirley MD, Glennie C, Fearon PV, Deehan DJ. Achieving best practice tariff may not reflect improved survival after hip fracture treatment. Clin Interv Aging. 2014 Dec 1;9:2097-102. doi: 10.2147/CIA.S65736. eCollection 2014. — View Citation

Martínez López, R., Moreno Navarro, J., Goide Linares, E., & Fernández García, D. (2012). Caracterización Clinico epidemiológica de pacientes con Fracturas de Cadera. Medisan, 16(2), 182-188.

Méndez-Lavergne O, Medina M, Avid J. (2011) Perfil de Pacientes con Fractura de Cadera. Hospital El Vigía. Eneroa-Agosto 2011. Rev MédCient; 24(2):3-11.

Moja L, Piatti A, Pecoraro V, Ricci C, Virgili G, Salanti G, Germagnoli L, Liberati A, Banfi G. Timing matters in hip fracture surgery: patients operated within 48 hours have better outcomes. A meta-analysis and meta-regression of over 190,000 patients. PLoS One. 2012;7(10):e46175. doi: 10.1371/journal.pone.0046175. Epub 2012 Oct 3. Review. — View Citation

Morales-Torres J, Gutiérrez-Ureña S; Osteoporosis Committee of Pan-American League of Associations for Rheumatology. The burden of osteoporosis in Latin America. Osteoporos Int. 2004 Aug;15(8):625-32. Epub 2004 Mar 20. Review. — View Citation

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PALOMINO, Lourdes; RAMIREZ, Rubén; VEJARANO, Julio y TICSE, Ray. (2016) Fractura de cadera en el adulto mayor: la epidemia ignorada en el Perú. Acta méd. peruana , vol.33, n.1, pp. 15-20 .

Pedrera-Zamorano JD, Lavado-Garcia JM, Moran JM. Comment on Sanfélix-Genovés et al.: Prevalence of osteoporotic fracture risk factors and antiosteoporotic treatments in the Valencia region, Spain. The baseline characteristics of the ESOSVAL cohort. Osteoporos Int. 2013 Jun;24(6):1923-4. doi: 10.1007/s00198-012-2145-0. Epub 2012 Sep 29. — View Citation

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Simunovic N, Devereaux PJ, Bhandari M. Surgery for hip fractures: Does surgical delay affect outcomes? Indian J Orthop. 2011 Jan;45(1):27-32. doi: 10.4103/0019-5413.73660. — View Citation

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Tortosa, Eric. (2004) Epidemiología de las Fracturas de Cadera en el Hospital Regional Rafael Hernández. Estudio Prospectivo, Junio 2003 - Marzo 2004.

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Vanzant EL, Hilton RE, Lopez CM, Zhang J, Ungaro RF, Gentile LF, Szpila BE, Maier RV, Cuschieri J, Bihorac A, Leeuwenburgh C, Moore FA, Baker HV, Moldawer LL, Brakenridge SC, Efron PA; Inflammation and Host Response to Injury Investigators. Advanced age is associated with worsened outcomes and a unique genomic response in severely injured patients with hemorrhagic shock. Crit Care. 2015 Mar 4;19:77. doi: 10.1186/s13054-015-0788-x. — View Citation

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* Note: There are 45 references in allClick here to view all references

Outcome

Type Measure Description Time frame Safety issue
Primary Anatomical classified action of the Fracture kind of proximal femoral fracture as sub trochanteric, intertrochanteric or subcapital 6 months
Secondary Sex male or female 6 months
Secondary Age years old of the patient when he or she has the fracture 6 months
Secondary Comorbidities Diseases of the patient (diabetes, hight blood pressure, others) 6 months
Secondary Energy of Trauma IF it was high energy or low energy trauma 6 months
Secondary Average length of stay Time frame that the patient stayed at the hospital 6 months
Secondary Osteoporosis Severe, mild, light 6 months
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