Effect of in-hospital comprehensive geriatric assessment (CGA) in older people with hip fracture. The protocol of the Trondheim Hip Fracture trial.
BACKGROUND: Hip fractures in older people are associated with high morbidity, mortality, disability and reduction in quality of life. Traditionally people with hip fracture are cared for in orthopaedic departments without additional geriatric assessment. However, studies of postoperative rehabilita...
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Journal article |
| Language: | English |
| Published: |
BioMed Central
2011
|
| Subjects: |
| _version_ | 1826279955964624896 |
|---|---|
| author | Sletvold, O Helbostad, J Thingstad, P Taraldsen, K Prestmo, A Lamb, S Aamodt, A Johnsen, R Magnussen, J Saltvedt, I |
| author_facet | Sletvold, O Helbostad, J Thingstad, P Taraldsen, K Prestmo, A Lamb, S Aamodt, A Johnsen, R Magnussen, J Saltvedt, I |
| author_sort | Sletvold, O |
| collection | OXFORD |
| description | BACKGROUND: Hip fractures in older people are associated with high morbidity, mortality, disability and reduction in quality of life. Traditionally people with hip fracture are cared for in orthopaedic departments without additional geriatric assessment. However, studies of postoperative rehabilitation indicate improved efficiency of multidisciplinary geriatric rehabilitation as compared to traditional care. This randomized controlled trial (RCT) aims to investigate whether an additional comprehensive geriatric assessment of hip fracture patients in a special orthogeriatric unit during the acute in-hospital phase may improve outcomes as compared to treatment as usual in an orthopaedic unit. METHODS/DESIGN: The intervention of interest, a comprehensive geriatric assessment is compared with traditional care in an orthopaedic ward. The study includes 401 home-dwelling older persons >70 years of age, previously able to walk 10 meters and now treated for hip fracture at St. Olav Hospital, Trondheim, Norway. The participants are enrolled and randomised during the stay in the Emergency Department. Primary outcome measure is mobility measured by the Short Physical Performance Battery (SPPB) at 4 months after surgery. Secondary outcomes measured at 1, 4 and 12 months postoperatively are place of residence, activities of daily living, balance and gait, falls and fear of falling, quality of life and depressive symptoms, as well as use of health care resources and survival. DISCUSSION: We believe that the design of the study, the randomisation procedure and outcome measurements will be of sufficient strength and quality to evaluate the impact of comprehensive geriatric assessment on mobility and other relevant outcomes in hip fracture patients. TRIALS REGISTRATION: ClinicalTrials.gov, NCT00667914. |
| first_indexed | 2024-03-07T00:06:32Z |
| format | Journal article |
| id | oxford-uuid:77bb0968-2434-47ac-b475-8d7228e93214 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-07T00:06:32Z |
| publishDate | 2011 |
| publisher | BioMed Central |
| record_format | dspace |
| spelling | oxford-uuid:77bb0968-2434-47ac-b475-8d7228e932142022-03-26T20:26:03ZEffect of in-hospital comprehensive geriatric assessment (CGA) in older people with hip fracture. The protocol of the Trondheim Hip Fracture trial.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:77bb0968-2434-47ac-b475-8d7228e93214GeratologyOrganisation and evaluation of medical careOrthopaedicsEnglishSymplectic Elements at OxfordBioMed Central2011Sletvold, OHelbostad, JThingstad, PTaraldsen, KPrestmo, ALamb, SAamodt, AJohnsen, RMagnussen, JSaltvedt, I BACKGROUND: Hip fractures in older people are associated with high morbidity, mortality, disability and reduction in quality of life. Traditionally people with hip fracture are cared for in orthopaedic departments without additional geriatric assessment. However, studies of postoperative rehabilitation indicate improved efficiency of multidisciplinary geriatric rehabilitation as compared to traditional care. This randomized controlled trial (RCT) aims to investigate whether an additional comprehensive geriatric assessment of hip fracture patients in a special orthogeriatric unit during the acute in-hospital phase may improve outcomes as compared to treatment as usual in an orthopaedic unit. METHODS/DESIGN: The intervention of interest, a comprehensive geriatric assessment is compared with traditional care in an orthopaedic ward. The study includes 401 home-dwelling older persons >70 years of age, previously able to walk 10 meters and now treated for hip fracture at St. Olav Hospital, Trondheim, Norway. The participants are enrolled and randomised during the stay in the Emergency Department. Primary outcome measure is mobility measured by the Short Physical Performance Battery (SPPB) at 4 months after surgery. Secondary outcomes measured at 1, 4 and 12 months postoperatively are place of residence, activities of daily living, balance and gait, falls and fear of falling, quality of life and depressive symptoms, as well as use of health care resources and survival. DISCUSSION: We believe that the design of the study, the randomisation procedure and outcome measurements will be of sufficient strength and quality to evaluate the impact of comprehensive geriatric assessment on mobility and other relevant outcomes in hip fracture patients. TRIALS REGISTRATION: ClinicalTrials.gov, NCT00667914. |
| spellingShingle | Geratology Organisation and evaluation of medical care Orthopaedics Sletvold, O Helbostad, J Thingstad, P Taraldsen, K Prestmo, A Lamb, S Aamodt, A Johnsen, R Magnussen, J Saltvedt, I Effect of in-hospital comprehensive geriatric assessment (CGA) in older people with hip fracture. The protocol of the Trondheim Hip Fracture trial. |
| title | Effect of in-hospital comprehensive geriatric assessment (CGA) in older people with hip fracture. The protocol of the Trondheim Hip Fracture trial. |
| title_full | Effect of in-hospital comprehensive geriatric assessment (CGA) in older people with hip fracture. The protocol of the Trondheim Hip Fracture trial. |
| title_fullStr | Effect of in-hospital comprehensive geriatric assessment (CGA) in older people with hip fracture. The protocol of the Trondheim Hip Fracture trial. |
| title_full_unstemmed | Effect of in-hospital comprehensive geriatric assessment (CGA) in older people with hip fracture. The protocol of the Trondheim Hip Fracture trial. |
| title_short | Effect of in-hospital comprehensive geriatric assessment (CGA) in older people with hip fracture. The protocol of the Trondheim Hip Fracture trial. |
| title_sort | effect of in hospital comprehensive geriatric assessment cga in older people with hip fracture the protocol of the trondheim hip fracture trial |
| topic | Geratology Organisation and evaluation of medical care Orthopaedics |
| work_keys_str_mv | AT sletvoldo effectofinhospitalcomprehensivegeriatricassessmentcgainolderpeoplewithhipfracturetheprotocolofthetrondheimhipfracturetrial AT helbostadj effectofinhospitalcomprehensivegeriatricassessmentcgainolderpeoplewithhipfracturetheprotocolofthetrondheimhipfracturetrial AT thingstadp effectofinhospitalcomprehensivegeriatricassessmentcgainolderpeoplewithhipfracturetheprotocolofthetrondheimhipfracturetrial AT taraldsenk effectofinhospitalcomprehensivegeriatricassessmentcgainolderpeoplewithhipfracturetheprotocolofthetrondheimhipfracturetrial AT prestmoa effectofinhospitalcomprehensivegeriatricassessmentcgainolderpeoplewithhipfracturetheprotocolofthetrondheimhipfracturetrial AT lambs effectofinhospitalcomprehensivegeriatricassessmentcgainolderpeoplewithhipfracturetheprotocolofthetrondheimhipfracturetrial AT aamodta effectofinhospitalcomprehensivegeriatricassessmentcgainolderpeoplewithhipfracturetheprotocolofthetrondheimhipfracturetrial AT johnsenr effectofinhospitalcomprehensivegeriatricassessmentcgainolderpeoplewithhipfracturetheprotocolofthetrondheimhipfracturetrial AT magnussenj effectofinhospitalcomprehensivegeriatricassessmentcgainolderpeoplewithhipfracturetheprotocolofthetrondheimhipfracturetrial AT saltvedti effectofinhospitalcomprehensivegeriatricassessmentcgainolderpeoplewithhipfracturetheprotocolofthetrondheimhipfracturetrial |