Impact of ASAP Multidisciplinary Optimization Care Protocol on Clinical Outcome in Elderly Inpatients for Hip Fracture

Impact of ASAP Multidisciplinary Optimization Care Protocol on Clinical Outcome in Elderly Inpatients for Hip Fracture: Retrospective Cohort Study

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT04771364

Enrollment

800

Registered

2021-02-25

Start date

2017-01-01

Completion date

2022-12-31

Last updated

2023-01-10

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

Conditions

Hip Fractures

Brief summary

To compare the impact of ASAP protocol (geriatric advice, early surgery, loco-regional anesthesia and pharmacological adaptation) on elderly patients with hip fracture and clinical outcome.

Detailed description

Retrospective double cohort analysis for ASA physical status 1, 2 and 3 elderly patients \>65 years old, scheduled to undergo surgery for hip fracture between January 1st 2017 and December 31st 2022. The investigator want to confirm the better outcome on 30-days mortality after surgery in patients where the ASAP protocol was applied, starting from 1 January 2020. ASAP protocol follow the latest international guidelines about hip fracture in elderly patient. The investigator focuses the research about the impact of ASAP protocol on clinical outcome: geriatrician's advice, impact of loco-regional techniques on intra-operative and postoperative pain control, chronic pharmacological therapy's adaptation and 30-days postoperative mortality.

Interventions

OTHERASAP care's protocol

Early geriatrician's advice, prefer locoregional anesthesia techniques where possible, early surgical therapy and medical adaptation on chronic patient's therapy (in particular with regard to sedative, anticholinergic and psychotropic drugs).

Study design

Observational model

COHORT

Time perspective

RETROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

65 Years to No maximum

Healthy volunteers

Inclusion criteria

* Over 65 years old patients with hip fractures between January 1st 2017 and December 31th 2022

Exclusion criteria

* Fracture without indication for surgery * Death before surgery * Intensive care's or polytrauma patients (\> 2 fracture sites) or under pharmacological coma needed before and after surgery.

Design outcomes

Primary

Measure	Time frame	Description
Postoperative complications	7 days	Neurological, cardiovascular, pulmonary, renal, infectious and gastrointestinal complications after surgery.

Secondary

Measure	Time frame	Description
Days of hospitalisation	30 days	Total hospitalisation days
30-days postoperative mortality	30 days	Mortality 1 month after surgery

Countries

Belgium

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026