Rehabilitation of Older High-risk Patients Treated for a Fragility Fracture of the Hip - a Cross-sectoral Study Between Bispebjerg-Frederiksberg Hospital and Frederiksberg Municipality - The HipFracture-Rehab1 Project
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 53
- 试验地点
- 2
- 主要终点
- Recovery of pre-fracture function
研究概览
简要总结
The goal of this observational study is to learn about and monitor the cross-sectoral rehabilitation process in older high-risk patients treated for at fragility fracture of the hip.
The main questions aim to answer:
- how patients are doing up to one year after hip fracture surgery on different outcomes across the continuum of rehabilitation being offered
- what expectations, experiences and satisfaction patients have for the overall rehabilitation process after a hip fracture
Participants age 65 and above with home address in Frederiksberg municipality, living in own home, admitted and treated for at hip fracture at Department of Orthopedic Surgery, Bispebjerg Hospital, will be asked for participation.
详细描述
In addition to primary and secondary outcome measures some of the patients will be asked to respond to a interviewer-based questionnaire, about their experiences of the rehabilitation offered during their hospital stay and at the temporary municipality-based 24-hour setting / or at home during the first couple of months. Furthermore, they will be interviewed about their expectations for rehabilitation in the municipality at time of discharge from the acute hospital.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Undergone surgery for hip fracture and admitted to department M1, Bispebjerg-Frederiksberg Hospital
- •Living in Frederiksberg municipality and being admitted from own home, or a 24 hour temporary setting in the municipality
排除标准
- •Living permanent in nursing home or is on the way to a permanent nursing home from a 24-hour setting.
结局指标
主要结局
Recovery of pre-fracture function
时间窗: Recovery of pre-fracture function at 3-4 months post-fracture as primary outcome
Recovery of function related to the pre-fracture level (re-call last week before fracture) will be assessed with New mobility Score (score 0-9) pre-fracture, at start and end of rehabilitation in municipality, 3-4 month and 1 year post-fracture
次要结局
- Physical activity / upright time (time standing and walking)(From inclusion until 9 days post-discharge)
- Frailty(At pre-fracture (recall) and 1-year post-fracture)
- Number of weekly exercise sessions with therapist in all settings(At discharge and end of rehabilitation in municipality)
- 30 second chair stand test (CST)(At inclusion and discharge from hospital, at start and end of rehabilitation in municipality and 3-4 months post-fracture)
- Basic mobility(Pre-fracture, at inclusion and discharge from hospital, at start and end of rehabilitation in municipality, 3-4 months and 1 year post-fracture)
- Hand Grip Strength (HGS)(At inclusion at the hospital, at start and end of rehabilitation in municipality and 3-4 months post-fracture)
- Physical activity (weekly)(At inclusion (recall of the last few weeks before present hospitalization) and 1-year post-fracture)
- Fear of falling(At discharge and 3-4 months and 1-year post-fracture)
- Number of falls(At start and end of rehabilitation in municipality, 3-4 months and 1 year post-fracture)
- Number of rehab weeks(At end of rehabilitation in municipality)
- Data 30 days post-discharge(30 day post-discharge)
- Type of training in Municipality(At end of rehabilitation in the Municipality)
- Hip related pain(At inclusion and discharge from hospital, at start and end of rehabilitation in municipality, 3-4 months and 1 year post-fracture)
- Cognitive status(At inclusion)
- Training after discharge from 24-hour setting(At discharge from 24-hour setting)
- Timed Up & Go test (TUG)(At start and end of rehabilitation in municipality and 3-4 months post-fracture)
- Health questionnaire(At pre-fracture (recall) and 3-4 months and 1-year post-fracture)
- Comorbidity(At inclusion)
- Residential status / discharge destination(At discharge from hospital and 24-hour rehabilitation setting)
- Length of stay in acute hospital(From surgery till discharge)
- Home care, nurse/other health assistance, times pr week(At pre-fracture, at start and end of rehabilitation in municipality and 3-4 months and 1-year post-fracture)
- Data 3 months post-discharge(3 month post-discharge)
- Data 1 year post-discharge(1 year post-discharge)
研究者
Morten Tange Kristensen
Professor
University Hospital Bispebjerg and Frederiksberg