An interventional study of Fast-tracking in Hip Fracture, sponsored by Sahlgrenska University Hospital. Withdrawn at 1 site in Sweden. Open to participants aged 65 Years and older. Per ClinicalTrials.gov, last updated 2021-02-16.
Sponsored by Sahlgrenska University Hospital · Not applicable, Interventional, and Supportive care
The purpose of this study is to determine whether fast-tracking hip fracture patients to geriatric medicine wards, as opposed to standard care at the emergency room, results in less complications and shorter hospitalization for the patients.
Each year about 18000 persons in Sweden suffer from a hip fracture. These people are often among the oldest and have many complicating diseases. The one-year mortality after hip fracture is 20%. Due to the complexity including many comorbidities in these patients, it is of great value that the care of these patients is optimal.
Today, most of the patients with suspected hip fracture in the catchment area of Sahlgrenska University hospital, Gothenburg, are transported directly to the radiology unit. Thereafter, the patient waits in the emergency room (ER) for an othopedic examination before being admitted to primarily a geriatric medicine ward where they wait for the operation. The average waiting time in the ER is today around four hours. The current scientific evidence for fast-tracking hipfracture patients is limited. The aim of our randomized controlled trial is to determine the effect of fast-tracking hip fracture patients at geraitric medicine wards compared to standard care regarding complication rate (primary endpoint), lenght of hospital stay and time to operation (secondary outcomes).
2,261 studies on the registry are indexed under Fractures, Bone; 325 are open to participants now.
Browse Fractures, Bone studies →Sahlgrenska University Hospital is the lead sponsor of 259 studies on the registry; 68 are open to participants now.
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Exclusion Criteria:
We will exclude patients based on the following criteria:
Fast-tracking hip fracture patients at geriatric medicine ward. The goal is to optimize the medical care of older hip fracture patients at a geriatric ward and to shorten the time to operation.
Procedure: Fast-tracking
Regular admission and care of hip fracture patients at the emergency room prior to surgery.
Incidence of complications (composit endpoint of non-fatal major bleeding, pressure ulcer, non-fatal infections, confusion, non-fatal tromboembolic events, all-cause mortality)
Time frame: at time of discharge from geriatric medicine ward, after four months and after one year
Length of hospital stay, time to operation, all-cause mortality, functional ability after discharge, proportion of patients returning to former living, self assessed health status
Time frame: At time of discharge from geriatric medicine ward, after four months and after one year
This study is withdrawn, as verified in Feb 2021. You cannot join it, but the record below documents what was studied.
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Sahlgrenska University Hospital