Anesthesia, Gender Bias, Hip Fractures, Surgery
Conditions
Brief summary
The investigators will use multilevel multivariable regression analysis to measure the association of sex with provision of guideline-based perioperative care for hip fracture surgery in Ontario.
Detailed description
In 2013, the Ontario Ministry of Health and Longterm Care published a 'Quality Based Procedures' guideline for care of hip fracture patients. The adjusted association of sex with receipt of 5 perioperative processes of care that can be accurately measured in health administrative data within this guideline will be investigated.
Interventions
OTHERMale sex
Male sex-as listed in the discharge abstract database
OTHERFemale sex
Male sex-as listed in the discharge abstract database
Sponsors
Ottawa Hospital Research Institute
Study design
Observational model
COHORT
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Non-elective hospital admission * Hip fracture diagnosis * Hip fracture surgery
Exclusion criteria
-None
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Perioperative geriatric medicine consult | Hospital admission to date of discharge from hospital, or 365 days after admission, whichever came first | Physician billing code for perioperative, inpatient geriatric medicine consult or comprehensive assessment |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Preoperative anesthesiology consult | Hospital admission to date of surgery, or 365 days after admission, whichever came first | Physician billing code for preoperative, inpatient anesthesiology consult |
| Wait for surgery greater than 2 days | Hospital admission to date of surgery, or 365 days after admission, whichever came first | Hospital admission to surgery wait for greater than 2 days |
| Perioperative regional analgesia | Hospital admission to 3 days after surgery | Peripheral nerve block or epidural administered in the perioperative period, identified from physician billing data codes |
| Neuraxial anesthesia | Day of surgery | Spinal or epidural anesthesia, without concurrent general anesthesia, administered for the hip fracture surgery and identified from the discharge abstract database section which describes anesthesia techniques for surgery. |
Outcome results
None listed