Why Still in Hospital After Hip Fracture Surgery?

NCT03265275 | Completed

• 1 other identifier: 2017/CP
• Study Type: observational
• Target: 182
• Locations: 1 country
• Sites: 1

Brief 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.

Conditions

Hip Fractures

Keywords

Fast track

Outcome Measures

Primary Outcomes (1)

• 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 Outcomes (2)

• Percentage of patients discharged to their preoperative level of care

  At hospital discharge, typically between 1 to 14 days after hip fracture surgery

• Length of hospital stay

  At hospital discharge, typically between 1 to 14 days after hip fracture surgery

Interventions

Fast track patient pathway OTHER

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.

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Patients over 18 years of age, who have been operated for a hip fracture at the orthopedic department, Akershus University Hospital.

You may qualify if:

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

You may not qualify if:

• Lack of written informed consent

Sponsors & Collaborators

• University Hospital, Akershus: lead
• Oslo University Hospital: collaborator

Study Sites (1)

Akershus University hospital

Lørenskog, 1478, Norway

Location

MeSH Terms

Conditions

Hip Fractures

Condition Hierarchy (Ancestors)

Femoral Fractures; Fractures, Bone; Wounds and Injuries; Hip Injuries; Leg Injuries

Study Officials

• Asbjorn Aaroen, Professor

  University Hospital, Akershus

  STUDY DIRECTOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: August 23, 2017
• First Posted: August 29, 2017
• Study Start: September 11, 2017
• Primary Completion: February 28, 2020
• Study Completion: March 31, 2020
• Last Updated: November 30, 2020

Record last verified: 2020-11

Data Sharing

• IPD Sharing: Will not share

Locations

NO (1)