Mortality Following Surgery for Proximal Femoral Fractures

Fracture of Neck of Femur (Hip) Clinical Trial

— HipMo  

Official title:

Mortality Following Surgery for Proximal Femoral Fractures

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01807039
• Other study ID #: KARIM FN Brno
• Status: Completed
• Phase: N/A
• First received: March 6, 2013
• Last updated: July 22, 2016
• Start date: December 2012
• Est. completion date: May 2015

Study information

• Verified date: July 2016
• Source: Brno University Hospital
• Contact: n/a
• Is FDA regulated: No
• Health authority: Institute of Biostatistics and Analyses, Masaryk University - University Campus Bohunice (Kamenice 126/3), Brno: Czech Republic
• Study type: Observational

Clinical Trial Summary

Proximal femoral fractures are most frequent traumatologic and orthopedic diagnoses undergoing surgery. It affect most seniors and accompanied by a series of complications. The aim of our retrospective clinical trial is to establish a thirty-day mortality rate after surgical solutions, mortality during hospitalization and compare the types of anesthesia chosen during the performance (general vs. subarachnoid anesthesia).

Description:

We evaluate relationship between the monitored parameters and 30 day survival.

Observed parameters:

• age of the patient

• sex of the patient

• 90 days mortality rate

• American Society of Anesthesiologists (ASA) score

• time since injury and surgery (hours)

• whether surgery was initiated during the day (7:00 - 20:00) or at night (20:00-07:00)

• type of administered anesthesia (GA, epidural anaesthesia, Subarachnoid (spinal) block)

• hemoglobin level prior to surgery

• haemotransfusion administration during surgery

• perioperative administration of vasopressors

• anesthetist erudition (with / without accomplished residency)

• surgeon erudition (with / without accomplished residency)

Recruitment information / eligibility

• Status: Completed
• Enrollment: 369
• Est. completion date: May 2015
• Est. primary completion date: May 2015
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years to 110 Years

Eligibility

Inclusion Criteria:

• isolated fracture of proximal femur indicated for surgery

Exclusion Criteria:

• children under 18 years

• none isolated trauma

• isolated fracture of proximal femur without surgery

Study Design

Observational Model: Cohort, Time Perspective: Retrospective

Related Conditions & MeSH terms

• Femoral Fractures
• Femoral Neck Fractures
• Fracture of Neck of Femur (Hip)
• Fractures, Bone

Intervention

Procedure:
• hip fracture surgery
we evaluate the relationship between the monitored parameters and 30 day survival

Locations

Country	Name	City	State
Czech Republic	Faculty Hospital Brno	Brno	Jihomoravský Kraj

Sponsors (2)

Lead Sponsor	Collaborator
Brno University Hospital	St. Anne's University Hospital Brno, Czech Republic

Country where clinical trial is conducted

Czech Republic, 

References & Publications (3)

Dzupa V, Bartonícek J, Skála-Rosenbaum J, Príkazský V. [Mortality in patients with proximal femoral fractures during the first year after the injury]. Acta Chir Orthop Traumatol Cech. 2002;69(1):39-44. Czech. — View Citation

O'Hara DA, Duff A, Berlin JA, Poses RM, Lawrence VA, Huber EC, Noveck H, Strom BL, Carson JL. The effect of anesthetic technique on postoperative outcomes in hip fracture repair. Anesthesiology. 2000 Apr;92(4):947-57. — View Citation

Pearse RM, Moreno RP, Bauer P, Pelosi P, Metnitz P, Spies C, Vallet B, Vincent JL, Hoeft A, Rhodes A; European Surgical Outcomes Study (EuSOS) group for the Trials groups of the European Society of Intensive Care Medicine and the European Society of Anaesthesiology. Mortality after surgery in Europe: a 7 day cohort study. Lancet. 2012 Sep 22;380(9847):1059-65. doi: 10.1016/S0140-6736(12)61148-9. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	in hospital mortality rate	number of deaths from hospital admission to discharge (percent)	2 years	Yes
Secondary	30 days mortality rate	number of deaths within 30 days after injury (percent)	2 years	Yes

External Links

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