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Completed

NCT Number: NCT03422497

The Association of Sex With Guideline-based Perioperative Care in Hip Fracture Surgery

The investigators will use multilevel multivariable regression analysis to measure the association of sex with provision of guideline-based perioperative care for hip fracture surgery in Ontario.

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Key information

Conditions

Hip Fractures Anesthesia Behavior Femoral Fractures Fractures, Bone Gender Bias Hip Injuries Leg Injuries Prejudice Sexism Social Behavior Social Discrimination Surgery Wounds and Injuries

Age range

65 year and older

Sex eligibility

All sexes

Study type

Observational

About this study

In 2013, the Ontario Ministry of Health and Longterm Care published a 'Quality Based Procedures' guideline for care of hip fracture patients. The adjusted association of sex with receipt of 5 perioperative processes of care that can be accurately measured in health administrative data within this guideline will be investigated.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Non-elective hospital admission
  • Hip fracture diagnosis
  • Hip fracture surgery

Exclusion criteria

-None

Treatment and study plan

Male sex

Other

Male sex-as listed in the discharge abstract database

Female sex

Other

Male sex-as listed in the discharge abstract database

Primary outcomes

  1. Perioperative geriatric medicine consult

    Time frame: Hospital admission to date of discharge from hospital, or 365 days after admission, whichever came first

    Physician billing code for perioperative, inpatient geriatric medicine consult or comprehensive assessment

Secondary outcomes

  1. Preoperative anesthesiology consult

    Time frame: Hospital admission to date of surgery, or 365 days after admission, whichever came first

    Physician billing code for preoperative, inpatient anesthesiology consult

  2. Wait for surgery greater than 2 days

    Time frame: Hospital admission to date of surgery, or 365 days after admission, whichever came first

    Hospital admission to surgery wait for greater than 2 days

  3. Perioperative regional analgesia

    Time frame: Hospital admission to 3 days after surgery

    Peripheral nerve block or epidural administered in the perioperative period, identified from physician billing data codes

  4. Neuraxial anesthesia

    Time frame: Day of surgery

    Spinal or epidural anesthesia, without concurrent general anesthesia, administered for the hip fracture surgery and identified from the discharge abstract database section which describes anesthesia techniques for surgery.

Sponsors and collaborators

Lead sponsor

Ottawa Hospital Research Institute

Other

Registry information

Official study title

The Association of Sex With Provision of Guideline-based Perioperative Care for Hip Fracture Surgery Patients: a Population-based Study

Important dates

Study start
2013
Primary completion
2016
Study completion
2016
First posted
Feb 5, 2018
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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