Mortality Following Surgery for Proximal Femoral Fractures

Study Overview
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Brief Summary
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Proximal femoral fractures are most frequent traumatologic and orthopedic diagnoses undergoing surgery. It affect most seniors and accompanied by a series of complications. The aim of our retrospective clinical trial is to establish a thirty-day mortality rate after surgical solutions, mortality during hospitalization and compare the types of anesthesia chosen during the performance (general vs. subarachnoid anesthesia).

Detailed Description
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We evaluate relationship between the monitored parameters and 30 day survival. Observed parameters: age of the patient sex of the patient 90 days mortality rate American Society of Anesthesiologists (ASA) score time since injury and surgery (hours) whether surgery was initiated during the day (7:00 - 20:00) or at night (20:00-07:00) type of administered anesthesia (GA, epidural anaesthesia, Subarachnoid (spinal) block) hemoglobin level prior to surgery haemotransfusion administration during surgery perioperative administration of vasopressors anesthetist erudition (with / without accomplished residency) surgeon erudition (with / without accomplished residency)

Official Title
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Mortality Following Surgery for Proximal Femoral Fractures

Conditions
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Fracture of Neck of Femur (Hip)

Intervention / Treatment
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* Procedure: hip fracture surgery


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: isolated fracture of proximal femur indicated for surgery Exclusion Criteria: children under 18 years none isolated trauma isolated fracture of proximal femur without surgery

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 110 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| patients after surgery with isolated proximal femur fracture<br>Patients between 18-110 years admitted to Faculty Hospital Brno with isolated injury of proximal femur (ICD dg. S72.0 a S72.1)who underwent surgery between 1.1. 2011 00:00 - 31.12. 2012 23:59 in Faculty hospital Brno (tertiary care university hospital). | Procedure: hip fracture surgery<br>* we evaluate the relationship between the monitored parameters and 30 day survival<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| in hospital mortality rate | number of deaths from hospital admission to discharge (percent) | 2 years | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 30 days mortality rate | number of deaths within 30 days after injury (percent) | 2 years | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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safety issue, hip fracture, proximal femur, pertrochanteric fracture, subtrochanteric fracture, subcapital fracture, anesthesia