HiFit

Hip fractures are common in older people and often result from a minor fall in individuals with pre-existing osteoporosis. A previous retrospective study in the Chinese leading orthopaedic hospital showed a significant care gap in geriatric hip fracture management, compared with the best practices in United Kingdom. HiFit is therefore designed as a prospective  multi-centre observational study conducted in 4 tertiary hospitals and 3 secondary hospitals in Beijing, China, aiming to document the current management of hip fracture for older adults, which includes one year recruitment and one year follow-ups (30 days, 120 days and 1 year after admission). The primary outcome is the proportion of participants who received surgery within 48 hours of admission to a ward. Secondary outcomes include the proportion of participants who were admitted to a ward within 4 hours of presentation to emergency department, developed a pressure ulcer, received geriatrician care and who received osteoporosis and falls prevention assessment. Exploratory outcomes consist of the proportion of patients with a major complication including mortality and reoperation at follow-ups. The findings of this study will provide a comprehensive understanding of the geriatric hip fracture management in China, and will potentially facilitate the formation of a clinical pathway on hip fracture management in China.

For more information contact Jing Zhang on zjing@georgeinstitute.org.cn