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Trial record 9 of 283 for:    Panama

Challenges of Hip Fracture Care in Developing Countries. Experience at a Level 3 Center in Panama

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT03130673
Recruitment Status : Completed
First Posted : April 26, 2017
Last Update Posted : February 22, 2019
Information provided by (Responsible Party):
Arizt De Leon Robles, Hospital del Niño "Dr. José Renán Esquivel"

Brief Summary:
An observational study using the information records at the Hospital Regional Rafael Hernandez, in Chiriqui, Panama, that will help to analyze the epidemiology and early treatments results of hip fracture patients treated in this institution.

Condition or disease
Hip Fractures

Detailed Description:

Hip fractures are a major public health concern due to increasing ageing of the population, rising costs and associated morbidity and mortality. The problem is more serious in developing countries, because of limited economic and technical resources available. The aim of the following study is to analyze the epidemiology and early treatment results of hip fracture patients treated in our unit.

This study will be done at the Hospital Rafael Hernandez Regional Hospital, a third level facility located in the province of Chiriqui, Republic of Panama. It is a retrospective observational study.

For this the study will use the hospital records, including imaging studies were reviewed, including the Singh Index, and all relevant data will be analyzed with SPSS 21 software.

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Study Type : Observational
Actual Enrollment : 104 participants
Observational Model: Case-Only
Time Perspective: Retrospective
Official Title: Hip Fracture Epidemiology at Hospital Regional Rafael Hernandez. September 2014 to March 2015.
Actual Study Start Date : September 1, 2014
Actual Primary Completion Date : September 30, 2017
Actual Study Completion Date : December 31, 2017

Resource links provided by the National Library of Medicine

hip fracture
fracture of proximal femur

Primary Outcome Measures :
  1. Anatomical classified action of the Fracture [ Time Frame: 6 months ]
    kind of proximal femoral fracture as sub trochanteric, intertrochanteric or subcapital

Secondary Outcome Measures :
  1. Sex [ Time Frame: 6 months ]
    male or female

  2. Age [ Time Frame: 6 months ]
    years old of the patient when he or she has the fracture

  3. Comorbidities [ Time Frame: 6 months ]
    Diseases of the patient (diabetes, hight blood pressure, others)

  4. Energy of Trauma [ Time Frame: 6 months ]
    IF it was high energy or low energy trauma

  5. Average length of stay [ Time Frame: 6 months ]
    Time frame that the patient stayed at the hospital

  6. Osteoporosis [ Time Frame: 6 months ]
    Severe, mild, light

Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
All of the Hip fractures in Hospital Regional Rafael Hernandez from september 2014 until march 2015

Inclusion Criteria:

  • All hip fractures

Exclusion Criteria:

  • All other fractures and no recorded survey

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT03130673

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Panama Children Hospital
Panama, Panama, 0823
Sponsors and Collaborators
Hospital del Niño "Dr. José Renán Esquivel"
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Principal Investigator: Arizt De Leon, MD orthopaedic surgeon

Publications of Results:
Other Publications:
Clark, P.; Chico, G.; Carlos F y cols (2013) Osteoporosis En América Latina: Revisión De Panel De Expertos. Medwave. 13(8):E5791
U.S. Census Bureau, (2011) International Data Base. Retrieved from
Bank, I. (1994). Latin America in Graphs: Demographic and Economic Trends 1972-1992. Population And Development Review, 20(3), 677.
Glenn, V. (2006). International Data Base (IDB) 2006, 188 International Data Base (IDB). URL: International Programs Center, US Census Bureau Last visited November 2005. Reference Reviews, 20(4), 19-19.
Zanchetta J, Macdonald S. (2012) The Latin America Regional Audit. Epidemiology, Costs & Burden Of Osteoporosis In 2012. Switzerland: International Osteoporosis Foundation.
Clark P, Carlos F, Vázquez-Martínez JL. (2010) Epidemiology, Costs And Burden Of Osteoporosis In Mexico. Arch Osteoporos. 5:9-17
Sandoval, Ricardo. Epidemiologia y Costos de las Fracturas de Cadera en egresados del Complejo Hospitalario Metropolitano De La Caja De Seguro Social, Año 1990.
Martínez López, R., Moreno Navarro, J., Goide Linares, E., & Fernández García, D. (2012). Caracterización Clinico epidemiológica de pacientes con Fracturas de Cadera. Medisan, 16(2), 182-188.
Muñoz,S., Lavanderos, J.,& Vilches, L. (2008). Fractura de Cadera. Cuad Cir (Valdivia), 22(1), 73-81.
Becarra-Rojas F, Jupari M (2011) Epidemiology of Osteoporosis In Perú. Bone 29:294-313
Ercolano, M. A., Drnovsek, M. L., & Gauna, A. (2012). Fractura de Cadera en los Hospitales Públicos de la Argentina. Revista Argentina de Endocrinología y Metabolismo, 49(1), 3-11.
Méndez-Lavergne O, Medina M, Avid J. (2011) Perfil de Pacientes con Fractura de Cadera. Hospital El Vigía. Eneroa-Agosto 2011. Rev MédCient; 24(2):3-11.
Tortosa, Eric. (2004) Epidemiología de las Fracturas de Cadera en el Hospital Regional Rafael Hernández. Estudio Prospectivo, Junio 2003 - Marzo 2004.
Jiménez C, Camacho D, Sepúlveda M. (2013) Aproximación epidemiológica de las fracturas de cadera en Chile. Rev Chil Ortop Traumatol 54 (3): 126-30.
Amigo P, Rodríguez M. (2012) Complicaciones intrahospitalarias de los pacientes intervenidos de fractura de cadera. Rev Med Electron 30(5):e1.
PALOMINO, Lourdes; RAMIREZ, Rubén; VEJARANO, Julio y TICSE, Ray. (2016) Fractura de cadera en el adulto mayor: la epidemia ignorada en el Perú. Acta méd. peruana , vol.33, n.1, pp. 15-20 .

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Responsible Party: Arizt De Leon Robles, Orthopedic Resident, Hospital del Niño "Dr. José Renán Esquivel" Identifier: NCT03130673     History of Changes
Other Study ID Numbers: HRRH
First Posted: April 26, 2017    Key Record Dates
Last Update Posted: February 22, 2019
Last Verified: February 2019
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No
Keywords provided by Arizt De Leon Robles, Hospital del Niño "Dr. José Renán Esquivel":
hip fracture
trochanteric fracure
subtrocantheric fracture
femoral head fracture
Additional relevant MeSH terms:
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Fractures, Bone
Hip Fractures
Wounds and Injuries
Femoral Fractures
Hip Injuries
Leg Injuries