Effects of Fast-tracking Geriatric Hip Fracture Patients

NCT04755686 | Withdrawn

• 1 other identifier: dnr 154-13
• Study Type: interventional
• Target: N/A
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to determine whether fast-tracking hip fracture patients to geriatric medicine wards, as opposed to standard care at the emergency room, results in less complications and shorter hospitalization for the patients.

Conditions

Hip Fracture

Keywords

hip fracture; fast-tracking; complications

Outcome Measures

Primary Outcomes (1)

• Incidence of complications (composit endpoint of non-fatal major bleeding, pressure ulcer, non-fatal infections, confusion, non-fatal tromboembolic events, all-cause mortality)

  at time of discharge from geriatric medicine ward, after four months and after one year

Secondary Outcomes (1)

• Length of hospital stay, time to operation, all-cause mortality, functional ability after discharge, proportion of patients returning to former living, self assessed health status

  At time of discharge from geriatric medicine ward, after four months and after one year

Study Arms (2)

Fast-tracking at geriatric medicine ward

EXPERIMENTAL

Fast-tracking hip fracture patients at geriatric medicine ward. The goal is to optimize the medical care of older hip fracture patients at a geriatric ward and to shorten the time to operation.

Procedure: Fast-tracking

Regular admission

NO INTERVENTION

Regular admission and care of hip fracture patients at the emergency room prior to surgery.

Interventions

Fast-tracking PROCEDURE

Fast-tracking at geriatric medicine ward

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• patients with low energy trauma with pain at the hip and/or groin AND
• respiratory frequency: 8-25/minute AND
• saturation: 90% or higher on air AND
• pulse: 50-119 beats per minute AND
• systolic blood pressure: \>90 mmHg AND
• level of consciousness: Reaction level scale (RLS) 1 or Glasgow Coma Scale (GCS) 14-15 AND
• plasma-glucose: 3,0-25 mmol/l

You may not qualify if:

• We will exclude patients based on the following criteria:
• distal status affected
• suspicion of other simultaneous fracture
• suspicion of head trauma or affected consciousness
• suspicion of acute cardiac disease
• signs of acute cardiac ischemia in electrocardiogram
• generalized symtoms, except for pain in the hip

Sponsors & Collaborators

• Sahlgrenska University Hospital: lead

Study Sites (1)

Sahlgrenska University Hospital, Mölndal

Gothenburg, Sweden

Location

MeSH Terms

Conditions

Hip Fractures

Condition Hierarchy (Ancestors)

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

Study Officials

• Mattias Lorentzon, MD, PhD

  Geriatric Medicine, Sahlgrenska University Hospital, Mölndal

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor, MD, PhD

Study Record Dates

• First Submitted: June 10, 2013
• First Posted: February 16, 2021
• Study Start: June 1, 2013
• Primary Completion: June 1, 2016
• Study Completion: June 1, 2017
• Last Updated: February 16, 2021

Record last verified: 2021-02

Locations

SE (1)