Why Still in Hospital After Hip Fracture Surgery?
NCT03265275 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 182
Last updated 2020-11-30
Summary
At our institution, hip fracture patients are admitted and treated according to a fast track patient pathway. The aim of this study is to identify areas of this patient pathway that can be improved. To achieve this, the study will investigate the underlying reasons for the continued need for hospitalization on the consecutive days after hip fracture surgery.
Conditions
- Hip Fractures
Interventions
- OTHER
-
Fast track patient pathway
Prehospital services establish a working diagnosis of hip fracture and initiate first line treatment. In the emergency department a specially trained nurse triages the patient. Patients without signs of other acute disease or trauma and who have not previously been operated in the same hip are directly transported to the x-ray suite. The x-rays are reviewed by the radiographer and in case of an obvious fracture of the hip the patient is transported directly to the orthopedic ward where the patient is received by a nurse and seen by an orthopedic surgeon. The pathway includes standard procedures for blood sampling, pain relief, including a fascia iliaca compartment block, intravenous fluids, transfusion triggers, management of anticoagulants and premedication. The pathway puts focus on prevention of pressure sores, a short preoperative fasting period and early mobilization. Screening tools are used to assess for delirium, nutritional status and fall risk.
Sponsors & Collaborators
-
Oslo University Hospital
collaborator OTHER -
University Hospital, Akershus
lead OTHER
Principal Investigators
-
Asbjorn Aaroen, Professor · University Hospital, Akershus
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2017-09-11
- Primary Completion
- 2020-02-28
- Completion
- 2020-03-31
Countries
- Norway
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