NCT02297581|Completed
Geriatric Fracture Centers - Evaluation of a Geriatric Co-management Program
A Prospective Multicenter Cohort Study to Evaluate the Benefit of the Geriatric Fracture Center (GFC) Concept
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A Prospective Multicenter Cohort Study to Evaluate the Benefit of the Geriatric Fracture Center (GFC) Concept
Sponsor study identifier
observational
282
6 countries
12
Study Start
May 2015
Date type not reportedThis date has not been verified as actual or estimated.
Primary Completion
December 2019
Actual (reported)Study Completion
May 2020
Actual (reported)The study will assess patients with at least one major AE related to treatment / hospitalization / immobilization in the Geriatric Fracture Center (GFC) group compared to the usual care group.
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
May 2020
Actual (reported)Click on a node to explore related trials.
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
November 17, 2014
Actual (reported)November 21, 2014
Actual (reported)May 2015
Date type not reportedThis date has not been verified as actual or estimated.
December 2019
Actual (reported)May 2020
Actual (reported)Major Adverse Events related to treatment / residential status / immobilization
Major AEs related to treatment / residential status / immobilization: * Delirium * Congestive heart failure * Pneumonia * Deep venous thrombosis * Pulmonary embolism * Pressure ulcers * Myocardial infarction
From surgery up to 1 year follow-up
Any other AEs not mentioned under primary outcome measure(s) as well as its relationship to the treatment / residential status / immobilization
From surgery up to 1 year follow-up
Activities of daily living
Baseline, 12 weeks and 1 year postoperative
Number of re-admissions to an acute hospital
From surgery up to 1 year follow-up
Timed up and go test (TUG)
12 weeks and 1 year follow-up
Parker Mobility Score
Baseline, 12 weeks and 1 year follow-up
Patient treatment in a geriatric fracture center A GFC is defined as follows: * General geriatrician or ortho-geriatrician available in trauma/orthopaedic department * Geriatrician sees the patient prior to surgery (except if the patient is admitted over night or during weekends) * Local medical guidelines, consented by orthopedic surgeons and geriatrician * Pre-defined order set for assessing laboratory values * Pre-defined patient pathway to guarantee a fast track in the emergency room * Daily communication among involved specialists * Postoperative phase up to discharge from orthopaedic / trauma department (i.e. Discharge 1): * Daily patient visit by geriatrician * Daily patient visit by orthopedic surgeon in combination with nurse * Daily therapy by physiotherapists, except for weekends * Access to social workers, if required
Patient treatment in an usual care center A UCC is defined as follows: * No geriatrician available in trauma/orthopaedic department * No pre-operative visit by a geriatrician as a standard * No pre-defined medical guidelines for geriatric fracture patients * Postoperative phase up to discharge from orthopaedic / trauma department (i.e. Discharge 1): * No daily patient visits by a geriatrician as a standard
Primary care clinic (Usual Care clinic) Geriatric center
Saint Louis University
St Louis, Missouri, 63104, United States
Elmhurst Medical Center
New York, New York, 11373, United States
Medical University of Innsbruck
Innsbruck, 6020, Austria
AKH Linz
Linz, 4020, Austria
Ziekenhuisgroep Twente
Almelo, 7609 SZ, Netherlands
Maastricht University Medical Center
Maastricht, 6202 AZ, Netherlands
General Hospital Singapore
Singapore, 169608, Singapore
Joeris A, Sprague S, Blauth M, Gosch M, Wattanapanom P, Jarayabhand R, Poeze M, Wong MK, Kwek EBK, Hegeman JH, Perez-Uribarri C, Guerado E, Revak TJ, Zohner S, Joseph D, Phillips MR. Cost-effectiveness analysis of the Geriatric Fracture Center (GFC) concept: a prospective multicentre cohort study. BMJ Open. 2023 Nov 2;13(11):e072744. doi: 10.1136/bmjopen-2023-072744.
Blauth M, Joeris A, Rometsch E, Espinoza-Rebmann K, Wattanapanom P, Jarayabhand R, Poeze M, Wong MK, Kwek EBK, Hegeman JH, Perez-Uribarri C, Guerado E, Revak TJ, Zohner S, Joseph D, Gosch M. Geriatric fracture centre vs usual care after proximal femur fracture in older patients: what are the benefits? Results of a large international prospective multicentre study. BMJ Open. 2021 May 10;11(5):e039960. doi: 10.1136/bmjopen-2020-039960.
Michael Blauth, Professor
Medical University Innsbruck
282 participants (actual enrollment reported by the registry).
First Submitted
November 17, 2014
First Posted
November 21, 2014
Study Start
May 2015
Date type not reportedThis date has not been verified as actual or estimated.
Treatment Efficacy of Leg Cycling as Part of Physiotherapy Treatment in Elderly Patients With Hip Fracture
Contact the study team to confirm eligibility.
Tan Tock Seng Hospital
Singapore, 308433, Singapore
Hospital Son LLatzer
Palma de Mallorca, Balearic Island, 07198, Spain
Hospital Universitario Costa del Sol
Marbella, 29603, Spain
Bhumibol Adulyadej Hospital
Bangkok, 10220, Thailand
Hospital Medical Center Bangkok
Bangkok, 10310, Thailand
Hurtado-Chong A, Joeris A, Hess D, Blauth M. Improving site selection in clinical studies: a standardised, objective, multistep method and first experience results. BMJ Open. 2017 Jul 12;7(7):e014796. doi: 10.1136/bmjopen-2016-014796.
Joeris A, Hurtado-Chong A, Hess D, Kalampoki V, Blauth M. Evaluation of the geriatric co-management for patients with fragility fractures of the proximal femur (Geriatric Fracture Centre (GFC) concept): protocol for a prospective multicentre cohort study. BMJ Open. 2017 Jul 12;7(7):e014795. doi: 10.1136/bmjopen-2016-014795.
Primary Completion
December 2019
Actual (reported)Study Completion
May 2020
Actual (reported)Last Updated
June 4, 2020
Record last verified: 2019-01
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Source: ClinicalTrials.gov.
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