Evaluating Nine-Year Sustainability After Implementing Evidence-Based Practices to Prevent Urinary Tract Infections and Overfilling of the Bladder in Patients with Hip Fracture

NCT ID: NCT06893562

Last Updated: 2025-04-01

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

NOT_YET_RECRUITING

Total Enrollment

750 participants

Study Classification

OBSERVATIONAL

Study Start Date

2025-04-30

Study Completion Date

2025-10-30

Brief Summary

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This study focuses on evaluating the long-term sustainability of a urinary catheter care bundle designed to prevent urinary tract infections and bladder distension in patients undergoing surgery for hip fractures. The intervention, which included two key innovations-a urinary catheter certificate and a nurse-driven urinary catheter protocol, was implemented between 2015 and 2020 and successfully reduced urinary tract infections and bladder distension, previously published. However, due to the pandemic, the initiative was paused and had to be reintroduced in 2022. Now, the study aims to assess the effectiveness of these preventive measures 9 years after their initial implementation. The research will analyze changes in the incidence of urinary tract infections, bladder distension, catheterisation methods, and documentation practices in patients aged 65 and older. The findings will help inform healthcare policies and may have broader implications for preventing adverse events in other surgical patient groups

Detailed Description

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Conditions

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Urinary Catheters Urinary Retention Adherence Documentation Skill Sustainability of Innovations Hip Fracture UTI - Urinary Tract Infection

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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Patients undergoing hip fracture surgery year nine after the intervention started.

Safe Hands and Safe Bladder intervention

Intervention Type BEHAVIORAL

Evaluating changes in urinary tract infections and bladder distension nine-year after implementing preventive measures

Interventions

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Safe Hands and Safe Bladder intervention

Evaluating changes in urinary tract infections and bladder distension nine-year after implementing preventive measures

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

-Hip fracture surgery at the study site, age 65 years and older and cared for in the ortho-geriatric wards.

Exclusion Criteria

-No catheterisation during hospital stay
Minimum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sahlgrenska University Hospital

OTHER

Sponsor Role lead

Responsible Party

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maria frödin

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Annette Erichsen, Associate Professor

Role: PRINCIPAL_INVESTIGATOR

Gothenburg University, Sahlgrenska University Hospital

Locations

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Sahlgrenska Academy, Sahlgrenska University hospital/Mölndal

Mölndal, Västra Götaland County, Sweden

Site Status

Countries

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Sweden

Central Contacts

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Maria Frödin, Dr

Role: CONTACT

+46 073-1802487

Linda Ahlstrom, Associate professor

Role: CONTACT

+46 070-5784636

Facility Contacts

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Bengt Nellgård, Professor

Role: primary

+46 070-6968680

References

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Erichsen Andersson A, Gillespie BM, Karlsson M, Malchau H, Nellgard B, Wikstrom E, Rogmark C, Tillander J. Reduction of early surgical site and other care related infections in 3553 hip fracture patients: lessons learned from the 5-year Safe Hands project. Antimicrob Resist Infect Control. 2022 Sep 5;11(1):113. doi: 10.1186/s13756-022-01153-4.

Reference Type BACKGROUND
PMID: 36064457 (View on PubMed)

Wikstrom E, Dellenborg L, Wallin L, Gillespie BM, Erichsen Andersson A. The Safe Hands Study: Implementing aseptic techniques in the operating room: Facilitating mechanisms for contextual negotiation and collective action. Am J Infect Control. 2019 Mar;47(3):251-257. doi: 10.1016/j.ajic.2018.08.024. Epub 2018 Nov 16.

Reference Type BACKGROUND
PMID: 30449454 (View on PubMed)

Erichsen Andersson A, Frodin M, Dellenborg L, Wallin L, Hok J, Gillespie BM, Wikstrom E. Iterative co-creation for improved hand hygiene and aseptic techniques in the operating room: experiences from the safe hands study. BMC Health Serv Res. 2018 Jan 4;18(1):2. doi: 10.1186/s12913-017-2783-1.

Reference Type BACKGROUND
PMID: 29301519 (View on PubMed)

Frodin M, Nellgard B, Rogmark C, Gillespie BM, Wikstrom E, Andersson AE. A co-created nurse-driven catheterisation protocol can reduce bladder distension in acute hip fracture patients - results from a longitudinal observational study. BMC Nurs. 2022 Oct 12;21(1):276. doi: 10.1186/s12912-022-01057-z.

Reference Type BACKGROUND
PMID: 36224550 (View on PubMed)

Frodin M, Ahlstrom L, Gillespie BM, Rogmark C, Nellgard B, Wikstrom E, Erichsen Andersson A. Effectiveness of implementing a preventive urinary catheter care bundle in hip fracture patients. J Infect Prev. 2022 Mar;23(2):41-48. doi: 10.1177/17571774211060417. Epub 2022 Feb 15.

Reference Type BACKGROUND
PMID: 35340925 (View on PubMed)

Other Identifiers

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2025-00397-01

Identifier Type: -

Identifier Source: org_study_id

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