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

Completed

• Conditions: Hip Fractures
• Interventions: Other: Fast track patient pathway

• Registration Number: NCT02986399
• Lead Sponsor: University Hospital, Akershus

Brief Summary

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.

Detailed Description

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.

Study Timeline

• Study Start: 2012-01-01
• Study First Submitted: 2016-12-06
• Study First Submitted QC: 2016-12-06
• Study First Posted: 2016-12-08
• Primary Completion: 2017-09-14
• Study Completion: 2017-09-14
• Status Verified: 2018-02
• Last Update Submitted: 2018-02-02
• Last Update Posted: 2018-02-05

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 2495

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

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Fast track patient pathway	Fast track patient pathway	Hip fracture patients operated at Akershus University hospital in 2014 and 2015.

Primary Outcome Measures

Name	Time	Method
30 day mortality rate	Within 30 days from surgery	Percentage of patients who die within 30 days from hip fracture surgery

Secondary Outcome Measures

Name	Time	Method
Quality of life	4 and 12 months from surgery	Quality of life measured by EQ-5D
Readmissions	Within 30 days from discharge	Unscheduled, all-cause readmission within 30 days from discharge from the index admission
Postoperative infection	Within 1 year from surgery	Superficial and / or deep surgical site infection
1 year mortality rate	Within 1 year from surgery	Percentage of patients who die within 1 year from hip fracture surgery
Re-operation	Within 1 year from surgery	All-cause re-operation at the site of the index surgery