Basic Mobility and Levels of Physical Activity During Hospitalization for a Hip Fracture: Functions Needed and Strategies Used
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Hip Fractures
- Sponsor
- Hvidovre University Hospital
- Enrollment
- 101
- Locations
- 1
- Primary Endpoint
- Physical activity/upright time (time standing and walking)
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
Present study aim to gain an understanding of functions needed and strategies used for patients following hip fracture surgery to be independent in basic mobility activities during acute hospitalization, and establish knowledge of how much (or little) patients get out of bed.
Within the patients included in this cohort study (1), a subgroup will also be included in a satellite study (2), with a separate objective. Definitions are presented in the detailed description below (objectives 1-2).
Detailed Description
The objectives are; 1. To determine levels of physical activity among a broad representation of patients hospitalized following hip fracture surgery, and secondly to explore the association with 30-day readmission, and mortality. 2. To understand and define which functions and strategies are needed for patients hospitalized following hip fracture surgery to be independent in the basic mobility activities: getting in/out of bed, sit-to-stand from a chair and walking.
Investigators
Maria Swennergren Hansen
Post doc
Hvidovre University Hospital
Eligibility Criteria
Inclusion Criteria
- •Patients who have undergone surgery for hip fracture at Hvidovre Hospital admitted to department 210/212 or at Bispebjerg Hospital department M
- •Being able to participate in basic mobility activities with assistance pre-fracture (Cumulated Ambulation Score (by recall) ≥ 3)
- •Able to give written informed consent or having a relative/legal guardian to give written consent, not later than on 3rd postoperative day
Exclusion Criteria
- •Postoperative weightbearing restrictions
- •Multiple fractures
- •Suspected pathological fracture due to cancer
- •Terminal illness
- •Post operative medical complications limiting the patient from getting out of bed
- •Patients with permanent residence in a nursing home
- •Patient unwilling to cooperate for testing
Outcomes
Primary Outcomes
Physical activity/upright time (time standing and walking)
Time Frame: Days of acute hospitalization (up to day 20)
Will be measured using SENS Innovation Aps motion activity measurement system which is a waterproof activity sensor placed laterally on the right thigh.
Secondary Outcomes
- Cognitive status(At inclusion)
- Comorbidity(At inclusion)
- Nutrition risk screening(At inclusion)
- Pain at rest and walking(At inclusion, and at discharge (assessed up to day 20))
- Body strength(At inclusion and 3-5 days post-operative.)
- Basic mobility(Daily on weekdays during hospitalization (up to day 20))
- Frailty(Registered at inclusion, but scored how they were 2 weeks before present hospitalization)
- Filming patients performing basic mobility activities(On the 3-5 post-operative day)
- Data 30 days post discharge(30 days post discharge)
- Pre-fracture physical activity(Registered at inclusion, but recall the last few weeks before present hospitalization)