Effect of in-hospital comprehensive geriatric assessment (CGA) in older people with hip fracture. The protocol of the Trondheim Hip Fracture Trial

BMC Geriatrics

Study Protocol

Sarah E Lamb¹  Olav Sletvold²  Jorunn L Helbostad²  Pernille Thingstad²  Kristin Taraldsen²  Anders Prestmo²  Ingvild Saltvedt²  Arild Aamodt³  Roar Johnsen⁴  Jon Magnussen⁴ 

[1] Clinical Trials Unit, University of Warwick, UK;Department of Geriatrics, St. Olav Hospital, University Hospital of Trondheim, Norway;Department of Neuroscience, Norwegian University of Science and Technology, (NTNU), Trondheim, Norway;Department of Orthopaedic Surgery, St. Olav Hospital, University Hospital of Trondheim, Norway;Department of Neuroscience, Norwegian University of Science and Technology, (NTNU), Trondheim, Norway;Department of Public Health and General Practice, Norwegian University of Science and Technology (NTNU), Trondheim, Norway;

关键词: Comprehensive Geriatric Assessment;    Short Physical Performance Battery;    Short Physical Performance Battery Score;    Index Stay;    Mini Mental State Examination;   

DOI  :  10.1186/1471-2318-11-18

 received in 2011-02-06, accepted in 2011-04-21,  发布年份 2011

来源: Springer

【 摘 要 】

BackgroundHip 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/designThe 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.DiscussionWe 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 registrationClinicalTrials.gov, NCT00667914

【 授权许可】

CC BY   
© Sletvold et al; licensee BioMed Central Ltd. 2011