Care Pathways for Benchmarking on Fragile Hip Fractures Rapid Recovery

NCT03941353 | Completed DMC

• 1 other identifier: CP4FHF
• Study Type: observational
• Target: 298
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this project is to build an international community of centers of excellence in the care for Fragile Hip Fracture Rapid Recovery patients. These centers of excellence will benchmark and share their expertise and experiences based on clinical and managerial data. In project is designed in five different phase: Phase 1: literature review: identifying relevant key interventions and indicators Phase 2: expert panel: expert panel for teams, management and policy makers Phase 3: data collection: collection managerial data through retrospective patient record analysis on clinical indicators Phase 4: statistical data analysis: data input, validation and statistical analysis Phase 5: feedback and knowledge sharing: feedback report with anonymous benchmarking and knowledge sharing of the results.

Conditions

Quality Improvement; Hip Fractures

Outcome Measures

Primary Outcomes (1)

• Performance on quality indicators at patient level (Quality of Care and patient satisfaction) for patients admitted with a fragile hip fracture.

  This study evaluates quality indicators at patient level as defined by the expert panel to determine appropriateness of fragile hip fracture indicators. The indicators will cover the pre-operative, peri-operative and post-operative care process. The data will be selected out of the patient record. Based on the expert panel quality of care is measured by time to surgery, information on pre-fall cognitive status, information on pre-fall mobility status, fasting time, administration of carbohydrate loading, administration of cortical steriods, use of tranexamic acid, urinary catheterization, administration of pain medication, time to post operative surgeon note for care team, time of drain duration, type of anesthesia, measurement of haemoglobin, mobilisation post-operative, following of pain protocol, plan for discharge, nutrition supplementation. he study is limited to the period in which the patients are hospitalized. No data is gathered before or after hospitalization.

  through study completion, an average of 1 year

Interventions

Usual care OTHER

Benchmark study with retrospective patient analysis evaluating the actual care patients with a fragile hip fracture receive

Eligibility Criteria

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

Study Population

Patient admitted with a proximal femur fracture

You may qualify if:

• Trauma related non-elective admission for hip fracture;
• Minimum age of 65 years;
• The following hip fractures are included: Femoral neck, femoral head, trochanteric and subtrochanteric fractures;
• Discharged or deceased before May 30th of 2019

You may not qualify if:

• Hip fracture is not the main reason for admission to emergency room;
• Additional ipsilateral fractures;
• Hip fracture resulting from in-hospital fall that occurred in the hospital where the patient receives hip fracture care.

Sponsors & Collaborators

• European Pathway Association: lead
• KU Leuven: collaborator

Study Sites (1)

KU Leuven

Leuven, Belgium

Location

MeSH Terms

Conditions

Hip Fractures

Condition Hierarchy (Ancestors)

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

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor in Healthcare Quality Management

Study Record Dates

• First Submitted: May 6, 2019
• First Posted: May 7, 2019
• Study Start: January 1, 2020
• Primary Completion: June 27, 2020
• Study Completion: December 31, 2020
• Last Updated: July 27, 2021

Record last verified: 2021-07

Locations

BE (1)