Impact of "ASAP" Multidisciplinary Optimization Care Protocol on Clinical Outcome in Elderly Inpatients for Hip Fracture: Retrospective Cohort Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 800
- 试验地点
- 1
- 主要终点
- Postoperative complications
研究概览
简要总结
To compare the impact of ASAP protocol (geriatric advice, early surgery, loco-regional anesthesia and pharmacological adaptation) on elderly patients with hip fracture and clinical outcome.
详细描述
Retrospective double cohort analysis for ASA physical status 1, 2 and 3 elderly patients >65 years old, scheduled to undergo surgery for hip fracture between January 1st 2017 and December 31st 2022.
The investigator want to confirm the better outcome on 30-days mortality after surgery in patients where the ASAP protocol was applied, starting from 1 January 2020.
ASAP protocol follow the latest international guidelines about hip fracture in elderly patient. The investigator focuses the research about the impact of ASAP protocol on clinical outcome: geriatrician's advice, impact of loco-regional techniques on intra-operative and postoperative pain control, chronic pharmacological therapy's adaptation and 30-days postoperative mortality.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
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
- •Over 65 years old patients with hip fractures between January 1st 2017 and December 31th 2022
排除标准
- •Fracture without indication for surgery
- •Death before surgery
- •Intensive care's or polytrauma patients (> 2 fracture sites) or under pharmacological coma needed before and after surgery.
结局指标
主要结局
Postoperative complications
时间窗: 7 days
Neurological, cardiovascular, pulmonary, renal, infectious and gastrointestinal complications after surgery.
次要结局
- Days of hospitalisation(30 days)
- 30-days postoperative mortality(30 days)
研究者
Jean François Brichant
Head of Anesthesiology Departement
University of Liege