Evaluation of Health and Social Interventions Aimed to Old People Discharged From Hospital After a Hip or Wrist Fracture Due to a Fall

Study Overview
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Brief Summary
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Objectives: To describe social and health care provided to our older patients who have been admitted in the emergency department (ED) after suffering from a hip or wrist fracture due to a fall. To compare among the different hospitals and town halls, the health and social care that participants received. To compare the functional dependency and health related quality of life (HRQoL) presented by the patients immediately and six months after a fall. Methodology: Prospective Cohort study. One hundred and fifty patients suffering from each type of fracture (hip or wrist) will be recruited consecutively in the Basque Health System's participant hospitals sub-project. Within 3 sub-projects, more than 3000 cases are expected to be collected. Data will be collected from ED and hospital clinical records and by means of questionnaires to measure functional dependency (Barthel and Lawton indexes) and HRQoL (SF-36) requesting information on status before the fall, immediately and six months later. In addition to this, data referred to care provided to the patients by traumatologist, rehabilitation or primary care provider as well as social services in their homes after the index episode will be collected.

Conditions
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Elderly, Wrist Fracture, Hip Fracture

Intervention / Treatment
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* Procedure: Surgery or non-invasive procedure (reduction of the fracture, immobilization, stabilization)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Hip or wrist fracture due to an accidental fall. Providing informed consent. Exclusion Criteria: Physical or psychological impairments that would prevent patients from properly completing the questionnaires. Syncope. No acceptance for taking part in the study.

Ages Eligible for Study
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Minimum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Hip fracture<br>Patients with a hip fracture due to an accidental fall | Procedure: Surgery or non-invasive procedure (reduction of the fracture, immobilization, stabilization)<br> <br> |
| Wrist fracture<br>Patients with a wrist fracture due to an accidental fall | Procedure: Surgery or non-invasive procedure (reduction of the fracture, immobilization, stabilization)<br> <br> |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Questionnaires to measure change in the functionality of the elderly |  | Before and 6 months after the fall | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Questionnaire to measure change in the health-related quality of life of the elderly |  | Before and 6 months after the fall | 
| Questionnaire to measure change in the performance of activities of daily living |  | Before and 6 months after the fall | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Falls, Functionality