Clinical trial NCT05756517: Basic Mobility and Physical Activity During Hospitalization for a Hip Fracture: Functions Needed and Strategies Used
Official title: Basic Mobility and Levels of Physical Activity During Hospitalization for a Hip Fracture: Functions Needed and Strategies Used
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Hip Fractures
Lead sponsor: Hvidovre University Hospital
Sponsor class: OTHER
First posted: 2023-03-06
Enrollment: 101
Sex: ALL
Minimum age (years): 60
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: Patients will be recruited from Hvidovre Hospital and Bispebjerg Hospital. A subgroup of patients from Hvidovre Hospital will also be recruited to the basic mobility satelite study (being filmed on 3-5 post operative day). This subpoplulation has slight different eligibility criteria. Addition to the inclusion criteria below: their pre-fracture CAS =6, able to give written informed consent, not later than on 5th postoperative day and able to speak and understand Danish. Additional exclusion criteria: Post operative medical complications limiting the patient from participating in physio- or occupational therapy, history of stroke with motor disability, cognitive dysfunction determined by chart review, reported by nursing staff, or observed by trained research staff (disoriented, dementia, active delirium), patient unwilling to participate in rehabilitation post-operative or do not want to cooperate for testing and to be filmed during transfer out/in of bed

Brief summary: Present study aim to gain an understanding of functions needed and strategies used for patients following hip fracture surgery to be independent in basic mobility activities during acute hospitalization, and establish knowledge of how much (or little) patients get out of bed.

Within the patients included in this cohort study (1), a subgroup will also be included in a satellite study (2), with a separate objective. Definitions are presented in the detailed description below (objectives 1-2).

Detailed description: The objectives are;

1. To determine levels of physical activity among a broad representation of patients hospitalized following hip fracture surgery, and secondly to explore the association with 30-day readmission, and mortality.
2. To understand and define which functions and strategies are needed for patients hospitalized following hip fracture surgery to be independent in the basic mobility activities: getting in/out of bed, sit-to-stand from a chair and walking.

Eligibility criteria: Inclusion Criteria:

* Patients who have undergone surgery for hip fracture at Hvidovre Hospital admitted to department 210/212 or at Bispebjerg Hospital department M1.
* Being able to participate in basic mobility activities with assistance pre-fracture (Cumulated Ambulation Score (by recall) ≥ 3)
* Able to give written informed consent or having a relative/legal guardian to give written consent, not later than on 3rd postoperative day

Exclusion Criteria:

* Postoperative weightbearing restrictions
* Multiple fractures
* Suspected pathological fracture due to cancer
* Terminal illness
* Post operative medical complications limiting the patient from getting out of bed
* Patients with permanent residence in a nursing home
* Patient unwilling to cooperate for testing

Primary outcomes:
measure: Physical activity/upright time (time standing and walking)
timeFrame: Days of acute hospitalization (up to day 20)
Secondary outcomes:
measure: Basic mobility
timeFrame: Daily on weekdays during hospitalization (up to day 20)
measure: Frailty
timeFrame: Registered at inclusion, but scored how they were 2 weeks before present hospitalization
measure: Cognitive status
timeFrame: At inclusion
measure: Nutrition risk screening
timeFrame: At inclusion
measure: Comorbidity
timeFrame: At inclusion
measure: Pain at rest and walking
timeFrame: At inclusion, and at discharge (assessed up to day 20)
measure: Body strength
timeFrame: At inclusion and 3-5 days post-operative.
measure: Pre-fracture physical activity
timeFrame: Registered at inclusion, but recall the last few weeks before present hospitalization
measure: Filming patients performing basic mobility activities
timeFrame: On the 3-5 post-operative day
measure: Data 30 days post discharge
timeFrame: 30 days post discharge
Other outcomes:
Locations:
city: Copenhagen
country: Denmark
facility: Department of Physio- and Occupational Therapy and Orthopedic Surgery, Copenhagen University Hospital, Amager-Hvidovre
state: Hvidovre
Study officials:
affiliation: Department of Orthopedic Surgery and Department of Physio- and Occupational Therapy, Hvidovre Hospital
name: Maria Swennergren Hansen, PT, PhD
role: PRINCIPAL_INVESTIGATOR
References: