A New Clinical Pathway for Patients With Fractured Neck of Femur

NCT00667914 | Completed

• 1 other identifier: 4.2008.335 (REC)
• Study Type: interventional
• Target: 397
• Locations: 0 countries
• Sites: N/A

Brief Summary

The intention is to evaluate the effectiveness of a multi-factorial medical treatment of patients with hip fractures in a specially designed unit for elderly hip fracture patients (orthogeriatric unit) as compared to traditional care in an orthopedic unit.

Conditions

Hip Fracture; Aged

Keywords

Hip-unit; Geriatric care; Mobility; Site of residence

Outcome Measures

Primary Outcomes (1)

• Mobility

  1, 4 and 12 months after surgery

Secondary Outcomes (4)

• Site of residence

  1, 4 and 12 months after surgery

• Other functional aspects than mobility

  1, 4 and 12 months after surgery

• Health economic variables

  1, 4 and 12 months after surgery

• Mortality

  1, 4 and 12 months after surgery

Study Arms (2)

Orthogeriatric unit

EXPERIMENTAL

Geriatric work-up on hip-fracture patients

Procedure: geriatric work-up

Orthopedic care as usual

ACTIVE COMPARATOR

Traditional care in the orthopedic unit

Procedure: Orthopedic care as usual

Interventions

geriatric work-up PROCEDURE

Pre- and postoperative treatment of hip-fracture patients in an orthogeriatric unit(geriatric evaluation and management)

Also known as: Geriatric work-up in hip-fracture patients

Orthogeriatric unit

Orthopedic care as usual PROCEDURE

treatment in ordinary orthopedic unit

Orthopedic care as usual

Eligibility Criteria

• Age: 70 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• age \>70 years
• living in nearby municipalities
• able to walk 10 m before fracture
• medial, pertrochanteric and subtrochanteric hip-fractures

You may not qualify if:

• nursing home residents
• expected to die within 3 months
• pathological fractures

Sponsors & Collaborators

• Norwegian University of Science and Technology: lead
• The Research Council of Norway: collaborator
• Helse Nord-Trøndelag HF: collaborator

Related Publications (8)

• Sletvold O, Helbostad JL, Thingstad P, Taraldsen K, Prestmo A, Lamb SE, Aamodt A, Johnsen R, Magnussen J, Saltvedt I. Effect of in-hospital comprehensive geriatric assessment (CGA) in older people with hip fracture. The protocol of the Trondheim Hip Fracture trial. BMC Geriatr. 2011 Apr 21;11:18. doi: 10.1186/1471-2318-11-18.

  PMID: 21510886 BACKGROUND

• Prestmo A, Saltvedt I, Helbostad JL, Taraldsen K, Thingstad P, Lydersen S, Sletvold O. Who benefits from orthogeriatric treatment? Results from the Trondheim hip-fracture trial. BMC Geriatr. 2016 Feb 19;16:49. doi: 10.1186/s12877-016-0218-1.

  PMID: 26895846 BACKGROUND

• Prestmo A, Hagen G, Sletvold O, Helbostad JL, Thingstad P, Taraldsen K, Lydersen S, Halsteinli V, Saltnes T, Lamb SE, Johnsen LG, Saltvedt I. Comprehensive geriatric care for patients with hip fractures: a prospective, randomised, controlled trial. Lancet. 2015 Apr 25;385(9978):1623-33. doi: 10.1016/S0140-6736(14)62409-0. Epub 2015 Feb 5.

  PMID: 25662415 RESULT

• Taraldsen K, Thingstad P, Sletvold O, Saltvedt I, Lydersen S, Granat MH, Chastin S, Helbostad JL. The long-term effect of being treated in a geriatric ward compared to an orthopaedic ward on six measures of free-living physical behavior 4 and 12 months after a hip fracture - a randomised controlled trial. BMC Geriatr. 2015 Dec 4;15:160. doi: 10.1186/s12877-015-0153-6.

  PMID: 26637222 RESULT

• Haugan K, Johnsen LG, Basso T, Foss OA. Mortality and readmission following hip fracture surgery: a retrospective study comparing conventional and fast-track care. BMJ Open. 2017 Aug 29;7(8):e015574. doi: 10.1136/bmjopen-2016-015574.

  PMID: 28851773 RESULT

• Thingstad P, Taraldsen K, Saltvedt I, Sletvold O, Vereijken B, Lamb SE, Helbostad JL. The long-term effect of comprehensive geriatric care on gait after hip fracture: the Trondheim Hip Fracture Trial--a randomised controlled trial. Osteoporos Int. 2016 Mar;27(3):933-942. doi: 10.1007/s00198-015-3313-9. Epub 2015 Sep 14.

  PMID: 26370827 RESULT

• Handoll HH, Cameron ID, Mak JC, Panagoda CE, Finnegan TP. Multidisciplinary rehabilitation for older people with hip fractures. Cochrane Database Syst Rev. 2021 Nov 12;11(11):CD007125. doi: 10.1002/14651858.CD007125.pub3.

  PMID: 34766330 DERIVED

• Taraldsen K, Sletvold O, Thingstad P, Saltvedt I, Granat MH, Lydersen S, Helbostad JL. Physical behavior and function early after hip fracture surgery in patients receiving comprehensive geriatric care or orthopedic care--a randomized controlled trial. J Gerontol A Biol Sci Med Sci. 2014 Mar;69(3):338-45. doi: 10.1093/gerona/glt097. Epub 2013 Jul 31.

  PMID: 23902933 DERIVED

MeSH Terms

Conditions

Hip Fractures

Condition Hierarchy (Ancestors)

Femoral Fractures; Fractures, Bone; Wounds and Injuries; Hip Injuries; Leg Injuries

Study Officials

• Olav Sletvold, MD. Ph D

  Department of Neuroscience, Norwegian University of Science and Technology

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 18, 2008
• First Posted: April 28, 2008
• Study Start: April 1, 2008
• Primary Completion: January 1, 2013
• Study Completion: May 1, 2013
• Last Updated: December 3, 2019

Record last verified: 2019-12