Clinical trial NCT06304584: Cross-sectoral Rehabilitation of Older High-risk Patients with Hip Fracture
Official title: 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
Study type: OBSERVATIONAL
Overall status: ACTIVE_NOT_RECRUITING
Conditions: Hip Fractures
Rehabilitation
Recovery of Function
Lead sponsor: University Hospital Bispebjerg and Frederiksberg
Sponsor class: OTHER
Collaborators: name: Frederiksberg Municipality
First posted: 2024-03-12
Enrollment: 53
Sex: ALL
Minimum age (years): 65
Standard ages: OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: Patients will be recruited from Bispebjerg Hospital, department M1

Brief summary: 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.

Detailed description: 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.

Eligibility criteria: Inclusion Criteria:

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

Exclusion Criteria:

Living permanent in nursing home or is on the way to a permanent nursing home from a 24-hour setting.

Primary outcomes:
measure: Recovery of pre-fracture function
timeFrame: Recovery of pre-fracture function at 3-4 months post-fracture as primary outcome
Secondary outcomes:
measure: Basic mobility
timeFrame: Pre-fracture, at inclusion and discharge from hospital, at start and end of rehabilitation in municipality, 3-4 months and 1 year post-fracture
measure: 30 second chair stand test (CST)
timeFrame: At inclusion and discharge from hospital, at start and end of rehabilitation in municipality and 3-4 months post-fracture
measure: Timed Up & Go test (TUG)
timeFrame: At start and end of rehabilitation in municipality and 3-4 months post-fracture
measure: Hip related pain
timeFrame: At inclusion and discharge from hospital, at start and end of rehabilitation in municipality, 3-4 months and 1 year post-fracture
measure: Hand Grip Strength (HGS)
timeFrame: At inclusion at the hospital, at start and end of rehabilitation in municipality and 3-4 months post-fracture
measure: Health questionnaire
timeFrame: At pre-fracture (recall) and 3-4 months and 1-year post-fracture
measure: Physical activity (weekly)
timeFrame: At inclusion (recall of the last few weeks before present hospitalization) and 1-year post-fracture
measure: Physical activity / upright time (time standing and walking)
timeFrame: From inclusion until 9 days post-discharge
measure: Frailty
timeFrame: At pre-fracture (recall) and 1-year post-fracture
measure: Fear of falling
timeFrame: At discharge and 3-4 months and 1-year post-fracture
measure: Comorbidity
timeFrame: At inclusion
measure: Cognitive status
timeFrame: At inclusion
measure: Number of falls
timeFrame: At start and end of rehabilitation in municipality, 3-4 months and 1 year post-fracture
measure: Residential status / discharge destination
timeFrame: At discharge from hospital and 24-hour rehabilitation setting
measure: Length of stay in acute hospital
timeFrame: From surgery till discharge
measure: Number of weekly exercise sessions with therapist in all settings
timeFrame: At discharge and end of rehabilitation in municipality
measure: Number of rehab weeks
timeFrame: At end of rehabilitation in municipality
measure: Type of training in Municipality
timeFrame: At end of rehabilitation in the Municipality
measure: Training after discharge from 24-hour setting
timeFrame: At discharge from 24-hour setting
measure: Home care, nurse/other health assistance, times pr week
timeFrame: At pre-fracture, at start and end of rehabilitation in municipality and 3-4 months and 1-year post-fracture
measure: Data 30 days post-discharge
timeFrame: 30 day post-discharge
measure: Data 3 months post-discharge
timeFrame: 3 month post-discharge
measure: Data 1 year post-discharge
timeFrame: 1 year post-discharge
Other outcomes:
Locations:
city: Copenhagen
country: Denmark
facility: Department of Physio- and Occupational Therapy and Othopedic Surgery, University Hospital Bispebjerg and Frederiksberg
Study officials:
affiliation: Fysio- og Ergoterapien, Bispebjerg-Frederiksberg Hospital
name: Morten T Kristensen, Professor
role: STUDY_CHAIR
References: