Why Still in Hospital After Hip Fracture Surgery?

Hip Fractures Clinical Trial

Official title:

Why Still in Hospital After Hip Fracture Surgery?

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03265275
• Other study ID #: 2017/CP
• Status: Completed
• Start date: September 11, 2017
• Est. completion date: March 31, 2020

Study information

• Verified date: November 2020
• Source: University Hospital, Akershus
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

At our institution, hip fracture patients are admitted and treated according to a fast track patient pathway. The aim of this study is to identify areas of this patient pathway that can be improved. To achieve this, the study will investigate the underlying reasons for the continued need for hospitalization on the consecutive days after hip fracture surgery.

Description:

The study will be conducted at the orthopedic department, Akershus University Hospital, as a prospective observational study and will include approximately 200 consecutive hip fracture patients. The patients will be evaluated once daily for the fulfillment of predefined discharge criteria. If the discharge criteria are not met or if the criteria are met but the patient is not discharged in spite of this the underlying reason(s) are recorded.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 182
• Est. completion date: March 31, 2020
• Est. primary completion date: February 28, 2020
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Operated at the orthopedic department, Akershus University Hospital, for a hip fracture

Exclusion Criteria:

• Lack of written informed consent

Related Conditions & MeSH terms

• Fractures, Bone
• Hip Fractures

Intervention

Other:
• Fast track patient pathway
Prehospital services establish a working diagnosis of hip fracture and initiate first line treatment. In the emergency department a specially trained nurse triages the patient. Patients without signs of other acute disease or trauma and who have not previously been operated in the same hip are directly transported to the x-ray suite. The x-rays are reviewed by the radiographer and in case of an obvious fracture of the hip the patient is transported directly to the orthopedic ward where the patient is received by a nurse and seen by an orthopedic surgeon. The pathway includes standard procedures for blood sampling, pain relief, including a fascia iliaca compartment block, intravenous fluids, transfusion triggers, management of anticoagulants and premedication. The pathway puts focus on prevention of pressure sores, a short preoperative fasting period and early mobilization. Screening tools are used to assess for delirium, nutritional status and fall risk.

Locations

Country	Name	City	State
Norway	Akershus University hospital	Lørenskog

Sponsors (2)

Lead Sponsor	Collaborator
University Hospital, Akershus	Oslo University Hospital

Country where clinical trial is conducted

Norway, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Factors necessitating hospitalization after hip fracture surgery	Recorded as: acute anemia, delirium, medical complications, pain, dizziness, nausea/vomiting, logistical reasons, unwillingness to be discharged, other (specified as free text)	Recorded using a check-list once daily from first day after hip fracture surgery until discharge from the orthopedic department, typically between 1 to 14 days after hip fracture surgery
Secondary	Percentage of patients discharged to their preoperative level of care		At hospital discharge, typically between 1 to 14 days after hip fracture surgery
Secondary	Length of hospital stay	Length of hospital stay in days, stratified after type of operation	At hospital discharge, typically between 1 to 14 days after hip fracture surgery