Hospital Readmission After HIPr Fracture. Impact of a Territorial Fracture Liason Service (FLSSantPau)

Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau

Status: Unknown

Conditions: Hip Fractures

Treatments: Other: Fracture Territorial Liaison Service afert a Hip fracture

Study type: Interventional

Funder types: Other

Identifiers

NCT05266755

IIBSP-FLS-2021-114

Details and patient eligibility

About

The International Osteoporosis Foundation (IOF) and the American Society for Bone Research and Mineral Metabolism recommend the creation and implementation of fracture coordination services (FLS) as the most efficient way to address the problem. FLS has emerged as a new clinical approach that uses coordinated, multidisciplinary care to improve post-fracture outcomes and reduce recurrent fractures. It is a multidisciplinary and protocolized care model that must guarantee:

1. Identify fragility fractures and people at risk for a fracture
2. Fracture risk assessment
3. Indication for treatment or referral
4. Improvement in therapeutic compliance
5. Reduce the risk of falls It is known that patients who have undergone a FLS model (vs no FLS), have lower mortality, lower risk of fracture, with a reduction of 35% and 56%, respectively, during two years of follow-up. One of the most important objectives of the FLS is the proper recognition and treatment of osteoporosis (OP) in patients with fragility fractures. A major problem is the lack of adherence to treatment for OP, and inclusion in an FLS program increases the prescription of bisphosphonates from 17.9% to 76%. In addition, a specific follow-up program means that 73% of patients followed by FLS continue to undergo anti-resorptive treatment after 2 years of having suffered a femur fracture.

Full description

Hypothesis After a femur fracture due to fragility, upon discharge from surgery at the Hospital de la Santa Creu i Sant Pau, including patients in a regional FLS program will make it possible to complete the study of the patient with fracture, improve adherence to treatment of OP (secondary prevention), and obtain better functional recovery.

Enrollment: 120 estimated patients

Sex: All

Ages: 65 to 99 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• All hip fractures older than 65 years

Exclusion criteria

• Politraumatic fractures
• Metastasic fractures

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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120 participants in 2 patient groups, including a placebo group

Patiens who will receive stanrdar care after hip fracture

Placebo Comparator group

Description:

All the patients who will be on surgery after a hip fracture will receive after the hospital discharge the standar following we are doing now in our hospital

Treatment:

Other: Fracture Territorial Liaison Service afert a Hip fracture

Patiens who will receive FLS following after the hip fracture

Active Comparator group

Description:

All the patients who will be on surgery after a hip fracture will receive after the hospital discharge a FLS following, multidisciplinary, with a web and mobile app aplication

Treatment:

Other: Fracture Territorial Liaison Service afert a Hip fracture