'Rehabilitation for Life'
- Conditions
- Hip Fractures
- Interventions
- Other: 'Rehabilitation for Life'Other: Usual care and rehabilitation
- Registration Number
- NCT04424186
- Lead Sponsor
- Kolding Sygehus
- Brief Summary
Despite implementing hospital quality programs after hip fracture surgery older adults often experience a decline in the level of physical function, reduced quality of life; and the mortality and readmission rates are high.
Early mobilization is important in order to prevent loss of muscle mass; however to prevent morbidity an early start of strength training is also necessary. Furthermore, the risk of complications, morbidity, and mortality are associated with insufficient management of pain.
The project aims to examine the effect of measuring vital signs and consistent rehabilitation in the primary and secondary sectors in older adults after hip fracture surgery.
Method/ design:
The study is a cluster-randomized stepped wedge study. Participants will be recruited among patients admitted to an orthogeriatric ward who are 65 years of age or older and citizens in one of six municipalities. Participants are also the health professionals in the orthogeriatric ward and the six municipalities.
The six municipalities form six clusters, which are randomized, and every three-month one cluster cross from control to intervention.
The study compares usual practice (control) to an intervention named 'Rehabilitation of Life'. An intervention best described as an empowerment-oriented cross-sectorial program including vital sign measurement and systematic progressive rehabilitation and combined with convenient access for collaboration among professionals.
Primary outcomes: Timed Up and Go (TUG) measured 2 months after the time of operation.
The investigators hypothesize that 'Rehabilitation of Life' for older adults with a hip fracture will result in a significant reduced TUG-score in comparison to a practice not offering 'Rehabilitation of Life'.
And as the study is organised across two sectors, the Cumulated Ambulation Score (CAS) makes a second primary outcome. It is hypothesised that patients in the intervention group will achieve a significantly reduced TUG score compared to usual care.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 339
- Patients with a hip fracture
- Patients of 65 years of age or older
- Patients admitted to an orthogeriatric ward
- Patient who are citizens in one og three municipalities
- Patients discharged for permanent residence in nursing homes
- Patients who cannot participate in a conversation
- Terminal registered patients.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- CROSSOVER
- Arm && Interventions
Group Intervention Description 'Rehabilitation for Life' 'Rehabilitation for Life' Vital sign measurement and rehabilitation Usual care and rehabilitation Usual care and rehabilitation Usual care and rehabilitation provided in primary and secondary sectors
- Primary Outcome Measures
Name Time Method Timed up and go Two months after the time of operation Measures functional mobility, as the time in seconds it takes a person to rise from a chair with arms, walk 3 m and return to the chair. A higher scores mean a worse outcome
Cumulated Ambulation Score (CAS) One months after the time of operation Measures basic mobility. The score 0-6. Higher scores mean a better outcome
- Secondary Outcome Measures
Name Time Method Timed up and go Three and six months after the time of operation Measures functional mobility, as the time in seconds it takes a person to rise from a chair with arms, walk 3 m and return to the chair. A higher scores mean a worse outcome
Barthel-20 2, 3, 6 and 12 months after the time of surgery A validated tool used to assess the patient's need for help to perform acitivities of daily living
Trial Locations
- Locations (1)
Inge Bruun
🇩🇰Kolding, Southern Denmark, Denmark