Comparison of clinical and process outcomes in patients with proximal femoral fractures before and after the implementation of a certified geriatric trauma center: a retrospective analysis

Status

Active, not recruiting

Phases

Unknown

Study type

Observational

Source

DRKS

Registry ID

DRKS00041090

Enrollment

400

Registered

2026-07-27

Start date

2026-07-02

Completion date

Unknown

Last updated

2026-08-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

S72.0 S72.1 S72.2

Interventions

Group 1: Hospitalized patients aged >70 years with proximal femoral fractures before the establishment of the Geriatric Trauma Center at Städtische Kliniken Mönchengladbach (January 2020 – September 2

Eligibility

Sex/Gender

All

Age

70 Years to No maximum

Inclusion criteria

Inclusion criteria: Patients admitted to the Department of Orthopedic Trauma Surgery with proximal femoral fractures

Exclusion criteria

Exclusion criteria: Patients surgically treated at an external hospital and subsequently transferred for geriatric rehabilitation.

Design outcomes

Primary

Measure	Time frame
The primary endpoint of this study was the overall in-hospital complication rate, defined as the occurrence of at least one of the following complications during the index hospitalization: fixation failure, surgical site infection, hematoma or seroma, urinary tract infection (community-acquired or nosocomial), pneumonia (community-acquired or nosocomial), pressure ulcers (present on admission with documented progression or hospital-acquired), and delirium.	—

Measure

Time frame

The primary endpoint of this study was the overall in-hospital complication rate, defined as the occurrence of at least one of the following complications during the index hospitalization: fixation failure, surgical site infection, hematoma or seroma, urinary tract infection (community-acquired or nosocomial), pneumonia (community-acquired or nosocomial), pressure ulcers (present on admission with documented progression or hospital-acquired), and delirium.

—

Secondary

Measure	Time frame
Secondary endpoints included clinical, process-related, and discharge-related outcomes. The clinical secondary endpoints comprised the individual complications listed above, in-hospital mortality (stratified as 48 hours after admission), the time to the first geriatric assessment (48 hours after admission), and the time to the initial physiotherapy consultation (48 hours after admission). The discharge-related endpoint was the discharge destination, categorized as discharge to home, a nursing home, a post-acute inpatient rehabilitation, a short-term care facility, or another inpatient healthcare facility. Discharge destination was compared with the patient's pre-admission living arrangement.	—

Measure

Time frame

Secondary endpoints included clinical, process-related, and discharge-related outcomes. The clinical secondary endpoints comprised the individual complications listed above, in-hospital mortality (stratified as 48 hours after admission), the time to the first geriatric assessment (48 hours after admission), and the time to the initial physiotherapy consultation (48 hours after admission). The discharge-related endpoint was the discharge destination, categorized as discharge to home, a nursing home, a post-acute inpatient rehabilitation, a short-term care facility, or another inpatient healthcare facility. Discharge destination was compared with the patient's pre-admission living arrangement.

—

Countries

Germany

Contacts

Public ContactPascal Jungbluth

Städtische Kliniken Mönchengladbach GmbH

pascal.jungbluth@sk-mg.de+4921663942072

Outcome results

None listed

Source: DRKS (via WHO ICTRP) · Data processed: Aug 10, 2026