Unique ID issued by UMIN | UMIN000041206 |
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Receipt number | R000047054 |
Scientific Title | Fracture liaison service to reduce postoperative complications and to improve activity of patients with hip fracture 24 months' follow-up survey |
Date of disclosure of the study information | 2020/07/24 |
Last modified on | 2020/07/24 22:16:44 |
Fracture liaison service to reduce postoperative complications and to improve activity of patients with hip fracture 24 months' follow-up survey
Fracture liaison service to reduce postoperative complications and to improve activity of patients with hip fracture 24 months' follow-up survey
Fracture liaison service to reduce postoperative complications and to improve activity of patients with hip fracture 24 months' follow-up survey
Fracture liaison service to reduce postoperative complications and to improve activity of patients with hip fracture 24 months' follow-up survey
Japan |
Hip fracture, neck fracture and trochnateric fracture
Orthopedics |
Others
NO
We included patients with fragility hip fracture, femoral neck fracture, and trochanteric fracture, and injury aged exceeding 50 years, between January 1, 2015, and December 31, 2017. We divided patients into a control group without FLS (94 patients; age: 83.8 years; 21 men and 73 women) and an FLS group (373 patients; age: 83.3 years; 69 men and 304 women).
Efficacy
Age (in years), sex, the days from injury to surgery, and the rate at which surgery occurred within 36 hours from injury, number and rate of cases that had undergone any surgery, and average hospital stay (days) were recorded. Additionally, comorbidity at surgery (as classified in our previous study: hypertension, cardiovascular disease, pulmonary disease, renal disease, diabetes, cerebrovascular disease, digestive disease), complications newly occurring after admission, including those that involved worsening of a comorbidity, and hip fracture on the opposite side within 12 months and within 24 months after the first hip fracture were also investigated.
We also examined the rate of taking anti-osteoporosis medicine, activities of daily living as evaluated by the Barthel index (BI) , and the rate of the patients whose BI was 80 and more, which was considered as indicator of independent daily activity. These parameters were evaluated at the time before injury, and 3 months, 6 months, 12 months, and 24 months after their injury. Moreover, mortality was examined within 1 month, 12 months, and 24 months after their injury, respectively. In terms of taking anti-osteoporosis medicine and activity of daily living as evaluated by the BI, the patients who died and who could not be traced were excluded from the analysis at each time-point. These data were obtained from medical records and telephone calls or by mail to the patients or their family, by a specialized liaison nurse qualified by the Japan Osteoporosis Society.
Observational
50 | years-old | <= |
100 | years-old | > |
Male and Female
The patients with fragility hip fracture
Pathological fracture, high energy injury
500
1st name | Norio |
Middle name | |
Last name | IMAI |
Niigata University Graduate School of Medical and Dental Sciences, Japan
Division of Comprehensice Muscloskeletal Medicine,
9518510
1-757, Asahimachidori, Niigata city, Niigata Prefecture, Japan
0252272272
imainorio2001@med.niigata-u.ac.jp
1st name | Norio |
Middle name | |
Last name | IMAI |
Niigata University Graduate School of Medical and Dental Sciences, Japan
Division of Comprehensice Muscloskeletal Medicine,
9518510
1-757, Asahimachidori, Niigata city, Niigata Prefecture, Japan
0252272272
imainorio2001@med.niigata-u.ac.jp
Niigata University Graduate School of Medical and Dental Sciences, Japan
None
Self funding
Niigata University School of Medicine
1-757, Asahimachidori, Niigata City, Niigata Prefecture
0252272272
imainorio2001@med.niigata-u.ac.jp
NO
2020 | Year | 07 | Month | 24 | Day |
Unpublished
577
The days from injury to surgery was significantly decreased, from 2.42 days to 1.83 days, after introduction of the FLS. In terms of complications after admission, a significant decrease was observed in the total number of cases, cardiovascular disease, pulmonary disease, and cerebrovascular disease in the FLS group. There was significantly more patients with a Barthel Index more than 80 in the FLS group at 6 months, 12 months, and 24 months after their injury
2020 | Year | 07 | Month | 24 | Day |
No longer recruiting
2015 | Year | 10 | Month | 01 | Day |
2015 | Year | 09 | Month | 20 | Day |
2015 | Year | 10 | Month | 01 | Day |
2019 | Year | 12 | Month | 31 | Day |
None
2020 | Year | 07 | Month | 24 | Day |
2020 | Year | 07 | Month | 24 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000047054
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