Fracture of Neck of Femur (Hip)
Conditions
Keywords
hip fracture, proximal femur, pertrochanteric fracture, subtrochanteric fracture, subcapital fracture, safety issue, anesthesia
Brief summary
Proximal femoral fractures are most frequent traumatologic and orthopedic diagnoses undergoing surgery. It affect most seniors and accompanied by a series of complications. The aim of our retrospective clinical trial is to establish a thirty-day mortality rate after surgical solutions, mortality during hospitalization and compare the types of anesthesia chosen during the performance (general vs. subarachnoid anesthesia).
Detailed description
We evaluate relationship between the monitored parameters and 30 day survival. Observed parameters: * age of the patient * sex of the patient * 90 days mortality rate * American Society of Anesthesiologists (ASA) score * time since injury and surgery (hours) * whether surgery was initiated during the day (7:00 - 20:00) or at night (20:00-07:00) * type of administered anesthesia (GA, epidural anaesthesia, Subarachnoid (spinal) block) * hemoglobin level prior to surgery * haemotransfusion administration during surgery * perioperative administration of vasopressors * anesthetist erudition (with / without accomplished residency) * surgeon erudition (with / without accomplished residency)
Interventions
we evaluate the relationship between the monitored parameters and 30 day survival
Sponsors
Study design
Eligibility
Inclusion criteria
* isolated fracture of proximal femur indicated for surgery
Exclusion criteria
* children under 18 years * none isolated trauma * isolated fracture of proximal femur without surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| in hospital mortality rate | 2 years | number of deaths from hospital admission to discharge (percent) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| 30 days mortality rate | 2 years | number of deaths within 30 days after injury (percent) |
Countries
Czechia