The Association of Sex With Guideline-based Perioperative Care in Hip Fracture Surgery

Surgery Clinical Trial

Official title:

The Association of Sex With Provision of Guideline-based Perioperative Care for Hip Fracture Surgery Patients: a Population-based Study

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03422497
• Other study ID #: DM7
• Status: Completed
• Phase: N/A
• First received: January 17, 2018
• Last updated: January 30, 2018
• Start date: May 2013
• Est. completion date: March 2016

Study information

• Verified date: January 2018
• Source: Ottawa Hospital Research Institute
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

The investigators will use multilevel multivariable regression analysis to measure the association of sex with provision of guideline-based perioperative care for hip fracture surgery in Ontario.

Description:

In 2013, the Ontario Ministry of Health and Longterm Care published a 'Quality Based Procedures' guideline for care of hip fracture patients. The adjusted association of sex with receipt of 5 perioperative processes of care that can be accurately measured in health administrative data within this guideline will be investigated.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 50000
• Est. completion date: March 2016
• Est. primary completion date: March 2016
• Accepts healthy volunteers: No
• Gender: All
• Age group: 65 Years and older

Eligibility

Inclusion Criteria:

• Non-elective hospital admission

• Hip fracture diagnosis

• Hip fracture surgery

Exclusion criteria

Related Conditions & MeSH terms

• Anesthesia
• Fractures, Bone
• Gender Bias
• Hip Fractures
• Surgery

Intervention

Other:
• Male sex
Male sex-as listed in the discharge abstract database
• Female sex
Male sex-as listed in the discharge abstract database

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Ottawa Hospital Research Institute

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Perioperative geriatric medicine consult	Physician billing code for perioperative, inpatient geriatric medicine consult or comprehensive assessment	Hospital admission to date of discharge from hospital, or 365 days after admission, whichever came first
Secondary	Preoperative anesthesiology consult	Physician billing code for preoperative, inpatient anesthesiology consult	Hospital admission to date of surgery, or 365 days after admission, whichever came first
Secondary	Wait for surgery greater than 2 days	Hospital admission to surgery wait for greater than 2 days	Hospital admission to date of surgery, or 365 days after admission, whichever came first
Secondary	Perioperative regional analgesia	Peripheral nerve block or epidural administered in the perioperative period, identified from physician billing data codes	Hospital admission to 3 days after surgery
Secondary	Neuraxial anesthesia	Spinal or epidural anesthesia, without concurrent general anesthesia, administered for the hip fracture surgery and identified from the discharge abstract database section which describes anesthesia techniques for surgery.	Day of surgery