Why Still in Hospital After Hip Fracture Surgery?

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

182 participants

Study Classification

OBSERVATIONAL

Study Start Date

2017-09-11

Study Completion Date

2020-03-31

Brief Summary

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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.

Detailed Description

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The study will be conducted at the orthopedic department, Akershus University Hospital, as a prospective observational study and will include approximately 200 consecutive hip fracture patients. The patients will be evaluated once daily for the fulfillment of predefined discharge criteria. If the discharge criteria are not met or if the criteria are met but the patient is not discharged in spite of this the underlying reason(s) are recorded.

Conditions

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Hip Fractures

Keywords

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Fast track

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Interventions

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Fast track patient pathway

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.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

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

Exclusion Criteria

* Lack of written informed consent

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Responsible Party

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Asbjorn Aroen

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Asbjorn Aaroen, Professor

Role: STUDY_DIRECTOR

University Hospital, Akershus

Locations

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Akershus University hospital

Lørenskog, , Norway

Site Status

Countries

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Norway

Other Identifiers

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2017/CP

Identifier Type: -

Identifier Source: org_study_id