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Evaluating a Strategy to Improve Pre-Anesthesia Care Discussions (My Anesthesia Choice-Hip Fracture)
Implementation and Evaluation of a Strategy to Improve Pre-Anesthesia Care Discussions (My Anesthesia Choice-Hip Fracture)
Who can join
Ages 50 and older · All sexes
Full eligibility criteria
Inclusion: Age 50 and older Planned surgery to treat a hip fracture Exclusion: Contraindication to spinal anesthesia: current anticoagulant therapy or coagulopathy Contraindication to spinal anesthesia: critical aortic stenosis Contraindication to spinal anesthesia: skin infection over the lumbar spine
About the study
The objective of this study is to assess the implementation process for and the effectiveness of a quality improvement (QI) strategy to increase shared decision-making around anesthesia options for hip fracture surgery at 6 US hospitals. The QI strategy is to be facilitated by a clinician-administered 1-page bedside conversation aid designed to improve the quality of physician-patient communication, paired with brief clinician training. The evaluation will occur via a stepped wedge, cluster randomized trial to be carried out over a period of 34 months.
What is being tested
- My Anesthesia Choice-HF Model (behavioral)
Sponsor: University of Pennsylvania · Participants: 1,881 · Started: Aug 15, 2024
Contact the study team
- Mark Neuman, MD · Phone: 215-746-7468
Official record on ClinicalTrials.gov — NCT06438640
Locations in the U.S.
| Florida | University of Florida Gainesville, Gainesville |
| Michigan | Henry Ford Hospital, Detroit |
| New Hampshire | Dartmouth Hitchcock Medical Center, Lebanon |
| North Carolina | Wake Forest University Baptist Medical Center, Winston-Salem |
| Ohio | Cleveland Clinic-Fairview, Cleveland |
| Pennsylvania | Penn Presbyterian Medical Center, Philadelphia |
Conditions
From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.