Hip Fractures
Conditions
Keywords
fast track
Brief summary
The study examines if the introduction of a fast track pathway for hip fracture patients had an influence on mortality and quality of life by comparing these outcomes between all hip fracture patients operated at Akershus University Hospital two years before and two years after this change in standard care.
Detailed description
The Norwegian hip fracture register prospectively collects data on all hip fracture patients including, among others, time to surgery, type of fracture, type of surgery and American Society of Anesthesiologists (ASA) score. The register also collects quality of life data 4 and 12 months after surgery. Using the unique Norwegian personal identification number the data from the Norwegian hip fracture register will be connected with data from the electronic patient record at Akershus University hospital (AHUS). Fast track surgery for hip fracture patients was introduced at the end of 2013. Mortality and quality of life data will be compared for all hip fracture patients operated at AHUS two years before and two years after this change in standard care. The combined data from the register and the electronic patient records will be used for regression analysis.
Interventions
Admittance: Ambulance - Radiology - Orthopaedic ward. Focus on preoperative information, stress reduction, pain relief, early mobilization and nutritional status.
Sponsors
Haukeland University Hospital
University Hospital, Akershus
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Operated at Akershus university hospital for a hip fracture (neck of femur, trochanteric, subtrochanteric) in 2012, 2013, 2014 or 2015 * 18 years or older
Exclusion criteria
* stress fracture
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 30 day mortality rate | Within 30 days from surgery | Percentage of patients who die within 30 days from hip fracture surgery |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| 1 year mortality rate | Within 1 year from surgery | Percentage of patients who die within 1 year from hip fracture surgery |
| Quality of life | 4 and 12 months from surgery | Quality of life measured by EQ-5D |
| Readmissions | Within 30 days from discharge | Unscheduled, all-cause readmission within 30 days from discharge from the index admission |
| Postoperative infection | Within 1 year from surgery | Superficial and / or deep surgical site infection |
| Re-operation | Within 1 year from surgery | All-cause re-operation at the site of the index surgery |
Outcome results
None listed