The study examines if the introduction of a fast track pathway for hip fracture patients had an influence on mortality and quality of life by comparing these outcomes between all hip fracture patients operated at Akershus University Hospital two years before and two years after this change in standard care.
The Norwegian hip fracture register prospectively collects data on all hip fracture patients including, among others, time to surgery, type of fracture, type of surgery and American Society of Anesthesiologists (ASA) score. The register also collects quality of life data 4 and 12 months after surgery. Using the unique Norwegian personal identification number the data from the Norwegian hip fracture register will be connected with data from the electronic patient record at Akershus University hospital (AHUS). Fast track surgery for hip fracture patients was introduced at the end of 2013. Mortality and quality of life data will be compared for all hip fracture patients operated at AHUS two years before and two years after this change in standard care. The combined data from the register and the electronic patient records will be used for regression analysis.
Study Type
OBSERVATIONAL
Enrollment
2,495
Admittance: Ambulance - Radiology - Orthopaedic ward. Focus on preoperative information, stress reduction, pain relief, early mobilization and nutritional status.
30 day mortality rate
Percentage of patients who die within 30 days from hip fracture surgery
Time frame: Within 30 days from surgery
1 year mortality rate
Percentage of patients who die within 1 year from hip fracture surgery
Time frame: Within 1 year from surgery
Quality of life
Quality of life measured by EQ-5D
Time frame: 4 and 12 months from surgery
Readmissions
Unscheduled, all-cause readmission within 30 days from discharge from the index admission
Time frame: Within 30 days from discharge
Postoperative infection
Superficial and / or deep surgical site infection
Time frame: Within 1 year from surgery
Re-operation
All-cause re-operation at the site of the index surgery
Time frame: Within 1 year from surgery
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