Time on Feet After Hip Fracture Event

NCT06700031 | Not Yet Recruiting DMC

• 1 other identifier: 2023-07759-01
• Study Type: observational
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

With simple technology investigators can map how long it takes for a patient with a hip fracture to be helped and encouraged to stand and walk in the days following the injury. A small sensor on the thigh can measure advanced data regarding movement patterns. The limited research results available show that patients spend too much time lying down or sitting, which can lead to poorer recovery, complications, and an increased risk of death. The project maps the current situation in orthopedic emergency care as well as in orthopedic geriatric care, which is provided in a modern building with single rooms and private bathrooms. In addition to better understanding the significance of different care models, the project aims to present baseline data that future intervention studies can use as control material. The project will also connect the activity level of the patients during the hospital stay with ongoing rehabilitation studies in community follow-up care.

Conditions

Hip Fractures (ICD-10 72.01-72.2)

Keywords

hip fracture; mobilization; rehabilitation

Outcome Measures

Primary Outcomes (1)

• Minutes in upright position per day

  Sitting, standing or walking as measured by the IMU

  During hospital stay, an average of one week

Secondary Outcomes (9)

• Complications within 30 days

  30 days from surgery

• Association with type of fracture

  During hospital stay, an average of one week

• Association with type of surgical method

  During hospital stay, an average of one week

• Association with duration of surgery

  During hospital stay, an average of one week

• Association with age

  During hospital stay, an average of one week

Interventions

Inertial measurement unit DEVICE

A sensor, an inertial measurement unit (IMU), will be attached to the thigh when the individual is on the postoperative ward and will be worn throughout the hospital stay. The IMU measures 7.9 x 3.2 x 0.8 cm and records body positions, movements, and gait parameters.

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

People with acute hip fractures regardless of age or cognitive status. The fracture should need surgical treatment.

You may qualify if:

• Having an acute hip fractures and being admitted to either two wards with orthopedic standard care or to one with orthogeriatric care at Skane University Hospital, Malmö

You may not qualify if:

• Lack of standing ability prior to the fracture, defined as requiring a sling lift for transfer
• Skin disease that prevent the sensor from being attached (dry, flaky, or sore skin, or sensitivity to adhesive)
• Additional fractures besides the hip fracture or other injuries that reduce mobility (e.g., head or thoracic injuries)

Sponsors & Collaborators

• Region Skane: lead
• Lund University: collaborator

Study Sites (1)

Dept. of Orthopaedics, Skane University Hospital

Malmo, 20502, Sweden

Location

Related Publications (2)

• Moller U O, Fange A M, J K, D S, F F, Hansson E E. Modern technology against falls - A description of the MoTFall project. Health Informatics J. 2021 Apr-Jun;27(2):14604582211011514. doi: 10.1177/14604582211011514.

  PMID: 34006139 RESULT

• Howell DF, Malmgren Fange A, Rogmark C, Ekvall Hansson E. Rehabilitation Outcomes Following Hip Fracture of Home-Based Exercise Interventions Using a Wearable Device-A Randomized Controlled Pilot and Feasibility Study. Int J Environ Res Public Health. 2023 Feb 10;20(4):3107. doi: 10.3390/ijerph20043107.

  PMID: 36833801 RESULT

MeSH Terms

Conditions

Hip Fractures

Condition Hierarchy (Ancestors)

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

Study Officials

• Cecilia Rogmark, PhD, Professor

  Lund University

  PRINCIPAL INVESTIGATOR

• Eva Ekvall Hansson, PhD, Professor

  Department of Health Sciences, Lund University

  STUDY CHAIR

Central Study Contacts

Cecilia Rogmark, MD, PhD

CONTACT

+46705984992; cecilia.rogmark@skane.se

Therese Jönsson, PhD

CONTACT

+460703360721

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: October 29, 2024
• First Posted: November 21, 2024
• Study Start: November 22, 2024
• Primary Completion: June 30, 2025
• Study Completion: March 31, 2026
• Last Updated: November 21, 2024

Record last verified: 2024-10

Locations

SE (1)