Hospital in the home for hip fracture patients : a feasibility study

Not Applicable

• Conditions: Hip fracture; Injuries and Accidents - Fractures; Musculoskeletal - Osteoporosis; Public Health - Health service research

• Registration Number: ACTRN12624000886583
• Lead Sponsor: iverpool Hospital

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Study Start: 2024-07-19
• Last Update Posted: 29 July 2024

Recruitment & Eligibility

• Status: ot yet recruiting
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

Community-dwelling adults aged => 50 years presenting to Liverpool Hospital with a low-trauma (osteoporotic) hip fracture who undergo surgical management.
- Frailty score of 6 or less (moderate frailty) based on the Clinical Frailty Score 1-9
- Anticipated to return to community (private) residence.
- Permitted to weight-bear as tolerated
- Carer available and is willing to help the patient with the HITH program

Exclusion Criteria

- Presence of other fractures that would delay discharge.
- Residential location outside the Liverpool and Fairfield Local Government Area.
- Private health insurance.
- Active end-of-life management or palliative care.
- Presence of other impairments which preclude early return home (e.g. significant hemiparesis, complex or disruptive renal dialysis needs, history of daily falls pre-admission, catastrophic complication perioperatively)
- Fracture occurred whilst in hospital for another reason
- Planned return or transfer to a residential aged care facility

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
HITH Program eligibility rate[Proportion of people who present over the study period who are eligible for the HITH program (eligible for program/number of low-trauma (osteoporotic) hip fractures presenting). This obtained from the medical records End of the observational period (after 5 months) - December 2024];HITH Program consent rate[Proportion of people who are eligible for the program who then consent to the program (eligible plus consent/eligible). This is obtained from the medical record. End of the observational period (5 months) - December 2024];Successful HITH transfer rate[Proportion of people who transfer to HITH and who do not transfer back to a physical hospital bed (successful HITH transfer/ total HITH transfers). This is obtained from the medical record. End of the observational period (5 months) - December 2024]