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Effect of in-hospital comprehensive geriatric assessment (CGA) in older people with hip fracture : the protocol of the Trondheim Hip Fracture Trial
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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. and Saltvedt, Ingvild (2011) Effect of in-hospital comprehensive geriatric assessment (CGA) in older people with hip fracture : the protocol of the Trondheim Hip Fracture Trial. BMC Geriatrics, Vol.11 (No.18). doi:10.1186/1471-2318-11-18 ISSN 1471-2318.
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Official URL: http://dx.doi.org/10.1186/1471-2318-11-18
Abstract
Background: Hip 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/design: The 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.
Discussion: We 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.
Item Type: | Journal Article | ||||
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Subjects: | R Medicine > RC Internal medicine | ||||
Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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Library of Congress Subject Headings (LCSH): | Femur -- Fractures -- Treatment, Fractures in old age -- Treatment, Older people -- Hospital care, Older people -- Rehabilitation | ||||
Journal or Publication Title: | BMC Geriatrics | ||||
Publisher: | BioMed Central Ltd. | ||||
ISSN: | 1471-2318 | ||||
Official Date: | 21 April 2011 | ||||
Dates: |
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Volume: | Vol.11 | ||||
Number: | No.18 | ||||
DOI: | 10.1186/1471-2318-11-18 | ||||
Status: | Peer Reviewed | ||||
Access rights to Published version: | Open Access (Creative Commons) | ||||
Date of first compliant deposit: | 16 December 2015 | ||||
Date of first compliant Open Access: | 16 December 2015 | ||||
Funder: | Norges forskningsråd [Norwegian Research Council], Central Norway Regional Health Authority, St. Olav Hospital, Selskapet for industriell og teknisk forskning ved Norges tekniske høgskole, Trondheim (Norway), Norges teknisk-naturvitenskapelige universitet | ||||
Grant number: | 186515 (NFR) |
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