Hospital Readmission After HIPr Fracture. Impact of a Territorial Fracture Liason Service

Not Applicable

• Conditions: Hip Fractures
• Interventions: Other: Fracture Territorial Liaison Service afert a Hip fracture

• Registration Number: NCT05266755
• Lead Sponsor: Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau

Brief Summary

The International Osteoporosis Foundation (IOF) and the American Society for Bone Research and Mineral Metabolism recommend the creation and implementation of fracture coordination services (FLS) as the most efficient way to address the problem. FLS has emerged as a new clinical approach that uses coordinated, multidisciplinary care to improve post-fracture outcomes and reduce recurrent fractures. It is a multidisciplinary and protocolized care model that must guarantee:

1. Identify fragility fractures and people at risk for a fracture

2. Fracture risk assessment

3. Indication for treatment or referral

4. Improvement in therapeutic compliance

5. Reduce the risk of falls It is known that patients who have undergone a FLS model (vs no FLS), have lower mortality, lower risk of fracture, with a reduction of 35% and 56%, respectively, during two years of follow-up. One of the most important objectives of the FLS is the proper recognition and treatment of osteoporosis (OP) in patients with fragility fractures. A major problem is the lack of adherence to treatment for OP, and inclusion in an FLS program increases the prescription of bisphosphonates from 17.9% to 76%. In addition, a specific follow-up program means that 73% of patients followed by FLS continue to undergo anti-resorptive treatment after 2 years of having suffered a femur fracture.

Detailed Description

Hypothesis After a femur fracture due to fragility, upon discharge from surgery at the Hospital de la Santa Creu i Sant Pau, including patients in a regional FLS program will make it possible to complete the study of the patient with fracture, improve adherence to treatment of OP (secondary prevention), and obtain better functional recovery.

Study Timeline

• Study First Submitted: 2022-02-23
• Study First Submitted QC: 2022-02-23
• Status Verified: 2022-03
• Study First Posted: 2022-03-04
• Last Update Submitted: 2022-03-04
• Study Start: 2022-03-15
• Last Update Posted: 2022-03-18
• Primary Completion: 2023-01-01
• Study Completion: 2023-04-01

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 120

Inclusion Criteria

• All hip fractures older than 65 years

Exclusion Criteria

• Politraumatic fractures
• Metastasic fractures

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Patiens who will receive stanrdar care after hip fracture	Fracture Territorial Liaison Service afert a Hip fracture	All the patients who will be on surgery after a hip fracture will receive after the hospital discharge the standar following we are doing now in our hospital
Patiens who will receive FLS following after the hip fracture	Fracture Territorial Liaison Service afert a Hip fracture	All the patients who will be on surgery after a hip fracture will receive after the hospital discharge a FLS following, multidisciplinary, with a web and mobile app aplication

Primary Outcome Measures

Name	Time	Method
Percentage of patients with adequated Osteoporotic treatment	1 year after discharge	Percentage of patients with adequated osteoporotic treatment
Number of Deaths	1 year after discharge	% of Number of deaths after 1st year o follow up
Number of Falls	1 year after discharge	Number of Falls 1st year o follow up

Secondary Outcome Measures

Name	Time	Method
Barthel at the end of follow up	1 year after discharge	Compare Barthel after hospital discharge with the end of follow up barthel. Minimum is 0 maximum is 100.

Trial Locations

Locations (1)

Jordi Martin Marcuello; 🇪🇸 Barcelona, Catalunya, Spain