Effects of Fast-tracking Hip Fracture Patients in Geriatric Medicine Wards on Complication Incidence and Time of Hospitalization
试验速览
- 阶段
- 不适用
- 状态
- 撤回
- 发起方
- 试验地点
- 1
- 主要终点
- Incidence of complications (composit endpoint of non-fatal major bleeding, pressure ulcer, non-fatal infections, confusion, non-fatal tromboembolic events, all-cause mortality)
研究概览
简要总结
The purpose of this study is to determine whether fast-tracking hip fracture patients to geriatric medicine wards, as opposed to standard care at the emergency room, results in less complications and shorter hospitalization for the patients.
详细描述
Each year about 18000 persons in Sweden suffer from a hip fracture. These people are often among the oldest and have many complicating diseases. The one-year mortality after hip fracture is 20%. Due to the complexity including many comorbidities in these patients, it is of great value that the care of these patients is optimal.
Today, most of the patients with suspected hip fracture in the catchment area of Sahlgrenska University hospital, Gothenburg, are transported directly to the radiology unit. Thereafter, the patient waits in the emergency room (ER) for an othopedic examination before being admitted to primarily a geriatric medicine ward where they wait for the operation. The average waiting time in the ER is today around four hours. The current scientific evidence for fast-tracking hipfracture patients is limited. The aim of our randomized controlled trial is to determine the effect of fast-tracking hip fracture patients at geraitric medicine wards compared to standard care regarding complication rate (primary endpoint), lenght of hospital stay and time to operation (secondary outcomes).
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •patients with low energy trauma with pain at the hip and/or groin AND
- •respiratory frequency: 8-25/minute AND
- •saturation: 90% or higher on air AND
- •pulse: 50-119 beats per minute AND
- •systolic blood pressure: >90 mmHg AND
- •level of consciousness: Reaction level scale (RLS) 1 or Glasgow Coma Scale (GCS) 14-15 AND
- •plasma-glucose: 3,0-25 mmol/l
排除标准
- •We will exclude patients based on the following criteria:
- •distal status affected
- •suspicion of other simultaneous fracture
- •suspicion of head trauma or affected consciousness
- •suspicion of acute cardiac disease
- •signs of acute cardiac ischemia in electrocardiogram
- •generalized symtoms, except for pain in the hip
结局指标
主要结局
Incidence of complications (composit endpoint of non-fatal major bleeding, pressure ulcer, non-fatal infections, confusion, non-fatal tromboembolic events, all-cause mortality)
时间窗: at time of discharge from geriatric medicine ward, after four months and after one year
次要结局
- Length of hospital stay, time to operation, all-cause mortality, functional ability after discharge, proportion of patients returning to former living, self assessed health status(At time of discharge from geriatric medicine ward, after four months and after one year)
研究者
Mattias Lorentzon
Associate Professor, MD, PhD
Sahlgrenska University Hospital, Sweden