Hip Fractures
Conditions
Brief summary
Hip fracture is a osteoporosis-related fracture with higher mortality, and is a major public health issue in China. The British Orthopedic Association and the British Geriatric Society have published the UK Blue Book, which summarizes current evidence and best practice in the hip fracture care and secondary prevention, but this kind of standardized practice in hip fracture care is not yet existed in China. The Blue Book standards will be used as the most contemporary evidence-based guidelines for management of hip fracture.This study is to prospectively examine the barriers and facilitators in the current management of hospital in China by comparing the Blue Book standards.
Interventions
PROCEDUREHip Fracture Surgery
Hip Fracture Surgery
Sponsors
Beijing Hospital
Beijing Anzhen Hospital
Beijing Friendship Hospital
Beijing Shuyi Hospital
Beijing Fangshan District Liangxiang Hospital
Beijing Changping District Hospital
Beijing Jishuitan Hospital
The George Institute for Global Health, China
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Adults aged 65 years old or over; * Hip fracture with X-ray-confirmed femoral neck, trochanteric or sub-trochanteric fracture; * Within 21 days of a hip fracture; * Willingness to sign informed consent form;
Exclusion criteria
* Patients with pathological fractures; * With terminal malignancies.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Operative administration within 48 hours | One year | The proportion of patients who are operated within 48 hours in the past one year |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| A&E Admission within 4 hours | One year | The proportion of patients who admit to orthopaedic ward from A&E within 4 hours in the past one year |
| The Incidence of Pressure Ulcer | One year | The incidence of pressure ulcer in the past one year via nurses provide assessment |
| The Proportion of Patients Who Receive Geriatrician Assessment | One year | The proportion of patients who receive the assessment of geriatricians in the past one year |
| The Proportion of Patients Who Receive Osteoporosis Assessment and Treatment | One year | The proportion of patients who receive osteoporosis assessment and treatment the hospital provided in the past one year |
| The Proportion of Patients Who Receive Specialist Falls Assessment | One year | The proportion of patients who receive specialist falls assessment in the past one year |
Other
| Measure | Time frame | Description |
|---|---|---|
| Mortality Rate in One Month, Four-Month, and One Year | One month, four-month, and one year | The mortality rate in one, four-month, and one year after admission to hospital |
| The Incidence of Complications in One Month, Four-Month, and One year | One month, four-month, and one year | The incidence of complications in one month, four-month and one year after admission to hospital, including pneumonia, deep vein thrombosis, heart disease, etc. |
Countries
China
Outcome results
None listed