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Completed

NCT Number: NCT02986399

Fast Track Hip Fracture - an Optimized Pathway for Hip Fracture Patients

The study examines if the introduction of a fast track pathway for hip fracture patients had an influence on mortality and quality of life by comparing these outcomes between all hip fracture patients operated at Akershus University Hospital two years before and two years after this change in standard care.

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Key information

Conditions

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

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

About this study

The Norwegian hip fracture register prospectively collects data on all hip fracture patients including, among others, time to surgery, type of fracture, type of surgery and American Society of Anesthesiologists (ASA) score. The register also collects quality of life data 4 and 12 months after surgery. Using the unique Norwegian personal identification number the data from the Norwegian hip fracture register will be connected with data from the electronic patient record at Akershus University hospital (AHUS). Fast track surgery for hip fracture patients was introduced at the end of 2013. Mortality and quality of life data will be compared for all hip fracture patients operated at AHUS two years before and two years after this change in standard care. The combined data from the register and the electronic patient records will be used for regression analysis.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Operated at Akershus university hospital for a hip fracture (neck of femur, trochanteric, subtrochanteric) in 2012, 2013, 2014 or 2015
  • 18 years or older

Exclusion criteria

  • stress fracture

Treatment and study plan

Fast track patient pathway

Other

Admittance: Ambulance - Radiology - Orthopaedic ward. Focus on preoperative information, stress reduction, pain relief, early mobilization and nutritional status.

Primary outcomes

  1. 30 day mortality rate

    Time frame: Within 30 days from surgery

    Percentage of patients who die within 30 days from hip fracture surgery

Secondary outcomes

  1. 1 year mortality rate

    Time frame: Within 1 year from surgery

    Percentage of patients who die within 1 year from hip fracture surgery

  2. Quality of life

    Time frame: 4 and 12 months from surgery

    Quality of life measured by EQ-5D

  3. Readmissions

    Time frame: Within 30 days from discharge

    Unscheduled, all-cause readmission within 30 days from discharge from the index admission

  4. Postoperative infection

    Time frame: Within 1 year from surgery

    Superficial and / or deep surgical site infection

  5. Re-operation

    Time frame: Within 1 year from surgery

    All-cause re-operation at the site of the index surgery

Sponsors and collaborators

Lead sponsor

University Hospital, Akershus

Other

Collaborators

  • Haukeland University Hospital

Registry information

Official study title

Influence of a Fast Track Pathway for Hip Fracture Patients on Mortality and Quality of Life

Important dates

Study start
2012
Primary completion
2017
Study completion
2017
First posted
Dec 8, 2016
Registry last updated
Feb 5, 2018

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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