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Sletvold, Olav; Helbostad, Jorunn L.; Thingstad, Pernille; Taraldsen, Kristin; Prestmo, Anders; Lamb, S. E. (Sallie E.); Aamodt, Arild; Johnsen, Roar; Magnussen, Jon, Prof.; Saltvedt, Ingvild (2011)
Publisher: BioMed Central Ltd.
Languages: English
Types: Article
Subjects: RC
Background: Hip fractures in older people are associated with high morbidity, mortality, disability and reduction in\ud quality of life. Traditionally people with hip fracture are cared for in orthopaedic departments without additional\ud geriatric assessment. However, studies of postoperative rehabilitation indicate improved efficiency of\ud multidisciplinary geriatric rehabilitation as compared to traditional care. This randomized controlled trial (RCT) aims\ud to investigate whether an additional comprehensive geriatric assessment of hip fracture patients in a special\ud orthogeriatric unit during the acute in-hospital phase may improve outcomes as compared to treatment as usual\ud in an orthopaedic unit.\ud Methods/design: The intervention of interest, a comprehensive geriatric assessment is compared with traditional\ud care in an orthopaedic ward. The study includes 401 home-dwelling older persons >70 years of age, previously\ud able to walk 10 meters and now treated for hip fracture at St. Olav Hospital, Trondheim, Norway. The participants\ud are enrolled and randomised during the stay in the Emergency Department. Primary outcome measure is mobility\ud measured by the Short Physical Performance Battery (SPPB) at 4 months after surgery. Secondary outcomes\ud measured at 1, 4 and 12 months postoperatively are place of residence, activities of daily living, balance and gait,\ud falls and fear of falling, quality of life and depressive symptoms, as well as use of health care resources and survival.\ud Discussion: We believe that the design of the study, the randomisation procedure and outcome measurements\ud will be of sufficient strength and quality to evaluate the impact of comprehensive geriatric assessment on mobility\ud and other relevant outcomes in hip fracture patients.
  • The results below are discovered through our pilot algorithms. Let us know how we are doing!

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