Hip fracture
Conditions
Interventions
Control group:Continue to implement the traditional orthopedic-led management model for elderly hip fractures
Intervention group:In-hospital process optimization, technical improvement of medical staff, and health education of patients and their families
Sponsors
Beijing Jishuitan Hospital affiliated to Capital Medical University
Eligibility
Sex/Gender
All
Age
65 Years to No maximum
Inclusion criteria
Inclusion criteria: Participating hospitals: This study will be conducted in 80 district and county-level public general hospitals in 10 provinces of China. Inclusion criteria of participating hospitals: at least 80 elderly patients with hip fractures are admitted each year; The nature and level of the hospital shall be a district and county-level second-level public general hospital or a district-level and county-level third-level public general hospital with less than 1,000 beds. Study subjects: The subjects of this study are elderly patients with hip fractures. Inclusion Criteria: Patients with unilateral trauma hip fracture, and age >= 65 years; Hip fractures confirmed by X-ray, including femoral neck, intertrochanteric (intertrochanteric) and subtrochanteric (subtrochanteric) fractures; Hip fractures occur within 21 days; Subjects who are willing to participate in the study and who have signed the informed consent form.
Exclusion criteria
Exclusion criteria: Exclusion criteria for participating hospitals: Hospitals that have implemented or are implementing interventions to improve the quality of hip fractures in the elderly, including multidisciplinary collaboration; The hospital is a hospital with a grade 3 A grade. Subject exclusion criteria: patients with pathological hip fracture caused by malignant tumors and other diseases; Patients with periprosthetic fractures; Patients who are unable to communicate normally.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Quality of life at 120 days post-admission; | — |
Secondary
| Measure | Time frame |
|---|---|
| Patient mobility at 30 and 120 days post-admission;Time from admission to surgery;Length of stay;Mortality rate at 30 and 120 days post-admission;Mortality rate at 30 and 120 days post-admission;Proportion of patients who were active immediately after surgery;Costs during hospitalization;Quality of life at 30 days post-admission; | — |
Countries
China
Contacts
Public ContactYang Minghui
Beijing Jishuitan Hospital affiliated to Capital Medical University
Outcome results
None listed