Influence of a Fast Track Pathway for Hip Fracture Patients on Mortality and Quality of Life
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Hip Fractures
- Sponsor
- University Hospital, Akershus
- Enrollment
- 2495
- Primary Endpoint
- 30 day mortality rate
- Status
- Completed
- Last Updated
- 8 years ago
Overview
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.
Investigators
Asbjorn Aroen
Professor
University Hospital, Akershus
Eligibility Criteria
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
Outcomes
Primary Outcomes
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
- Quality of life(4 and 12 months from surgery)
- Readmissions(Within 30 days from discharge)
- Postoperative infection(Within 1 year from surgery)
- 1 year mortality rate(Within 1 year from surgery)
- Re-operation(Within 1 year from surgery)