The Association of Sex With Guideline-based Perioperative Care in Hip Fracture Surgery

January 30, 2018 updated by: Ottawa Hospital Research Institute

The Association of Sex With Provision of Guideline-based Perioperative Care for Hip Fracture Surgery Patients: a Population-based Study

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.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

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.

Study Type

Observational

Enrollment (Actual)

50000

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

63 years and older (Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Sampling Method

Non-Probability Sample

Study Population

Emergency hip fracture surgery patients

Description

Inclusion Criteria:

  • Non-elective hospital admission
  • Hip fracture diagnosis
  • Hip fracture surgery

Exclusion criteria

-None

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Observational Models: Cohort
  • Time Perspectives: Cross-Sectional

Cohorts and Interventions

Group / Cohort
Intervention / Treatment
Male hip fracture surgery patients
Individuals 65 years or older admitted non-electively to hospital with a diagnosis of hip fracture who have surgery for their hip fracture and have male sex listed in their discharge abstract
Other: Male sex
Male sex-as listed in the discharge abstract database
Female hip fracture surgery patients
Individuals 65 years or older admitted non-electively to hospital with a diagnosis of hip fracture who have surgery for their hip fracture and have female sex listed in their discharge abstract
Other: Female sex
Male sex-as listed in the discharge abstract database

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Perioperative geriatric medicine consult
Time Frame: 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
Hospital admission to date of discharge from hospital, or 365 days after admission, whichever came first

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Preoperative anesthesiology consult
Time Frame: Hospital admission to date of surgery, or 365 days after admission, whichever came first
Physician billing code for preoperative, inpatient anesthesiology consult
Hospital admission to date of surgery, or 365 days after admission, whichever came first
Wait for surgery greater than 2 days
Time Frame: Hospital admission to date of surgery, or 365 days after admission, whichever came first
Hospital admission to surgery wait for greater than 2 days
Hospital admission to date of surgery, or 365 days after admission, whichever came first
Perioperative regional analgesia
Time Frame: Hospital admission to 3 days after surgery
Peripheral nerve block or epidural administered in the perioperative period, identified from physician billing data codes
Hospital admission to 3 days after surgery
Neuraxial anesthesia
Time Frame: 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.
Day of surgery

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Ottawa Hospital Research Institute

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

May 1, 2013

Primary Completion (Actual)

March 1, 2016

Study Completion (Actual)

March 1, 2016

Study Registration Dates

First Submitted

January 17, 2018

First Submitted That Met QC Criteria

January 30, 2018

First Posted (Actual)

February 5, 2018

Study Record Updates

Last Update Posted (Actual)

February 5, 2018

Last Update Submitted That Met QC Criteria

January 30, 2018

Last Verified

January 1, 2018

More Information

Terms related to this study

Additional Relevant MeSH Terms

Other Study ID Numbers

  • DM7

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

No

IPD Plan Description

Privacy policies in our institution preclude data sharing

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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