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Frailty and functional decline after hip fracture surgery


- candidate number21660
- NTR NumberNTR5058
- ISRCTNISRCTN no longer applicable
- Date ISRCTN created
- date ISRCTN requested
- Date Registered NTR6-feb-2015
- Secondary IDs14.0110 METC Zwolle
- Public TitleFrailty and functional decline after hip fracture surgery
- Scientific TitlePrevalence of - and factors associated with frailty and functional decline in patients with hip fractures: prospective observational study (STOK). This study is in collaboration with the study ĎOrthostatic hypotension and rehabilitationí.
- ACRONYMSTOK: Samenwerking Traumachirurgie en Ouderengeneeskunde bij Kwetsbare patiŽnten met een collumfractuur.
- hypothesisThe aim of the study is to explore the relation between frailty, functional status and other patient characteristics and adverse outcomes as functional decline, length of stay, admissions and mortality. Frailty is multifactorial and is known to be related to adverse health outcomes, hospitalization and mortality. The degree of frailty depends on the instruments used. The Groninger Frailty Indicator (GFI) is expected to have more predicitive value than other frailty indicators. Involvement of a geriatric team is thought to improve outcomes. Defined as less functional decline.
- Healt Condition(s) or Problem(s) studiedHip fractures, Hospitalization
- Inclusion criteriaPatients (>70 years) admitted to the hospital with hip fracture who are eligible for surgery.
- Exclusion criteria-A fracture distal from subtrochanteric fracture
-Pathological fracture
-Admission to a ward other than internal medicine or orthopedic/surgical wards
- mec approval receivedyes
- multicenter trialno
- randomisedno
- group[default]
- Type[default]
- Studytypeobservational
- planned startdate 1-nov-2014
- planned closingdate1-jan-2016
- Target number of participants200
- Interventions-Hand grip dynamometry
- Primary outcome-GFI
-Length of stay at the hospital
-Functional decline by Barthel 2, 6 and 12 months after discharge
-(Re-)admissions
-Mortality in 6 and 12 months
- Secondary outcome-Baseline characteristics (gender, medication, medical history, social status, type of peration and anesthesia technique.
-Muscular strength measured by Hand grip dynamometry Occurrence of delirium
-MMSE: Mini-Metal State Evaluation
-ISAR-HP: Identification of Seniors at Risk-Hospitalized Patients
-Time to successful rehabilitation. Successful rehabilitation is defined as having the same functional status compared to the prefracture status. Functional status is evaluated using the Barthel index questionnaire.
- Timepoints-Pre-operative: Barthel questionnaire, GFI, Hand grip dynamometry, ISAR-HP
-During stay at the hospital: delirium screening
-Day of discharge hospital: Hand grip dynamometry, MMSE
-Day of discharge nursing home: Barthel, time to successful rehabilitation
-Post-operatively 2 months (out-patient department): Barthel questionnaire, GFI, Hand grip dynamometry
-Post-operatively 6 and 12 months (questionnaire by telephone): number of fall incidents, Barthel questionnaire
-Post-operatively 12 months: mortality and re-admissions.
- Trial web site
- status[default]
- CONTACT FOR PUBLIC QUERIES Marian Winters
- CONTACT for SCIENTIFIC QUERIES Marian Winters
- Sponsor/Initiator Isala Clinics Zwolle
- Funding
(Source(s) of Monetary or Material Support)
- Publications
- Brief summaryFrailty is a multifactorial clinical syndrome which is related to adverse health outcomes, hospitalization and mortality. In this study we aim to find the best way of assessing frailty in patients with hip fracture, eligible for surgery. Furthermore we will describe the relation between frailty, functional status and other patient characteristics and adverse outcomes as functional decline, length of stay, admissions and mortality. Negative outcomes are seen in patients after surgery for a hip fracture. Involvement of a geriatric team is expected to improve health outcomes.
We think involvement of a geriatric team decreases readmissions, length of stay and mortality.
- Main changes (audit trail)
- RECORD6-feb-2015 - 18-apr-2015


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