None listed
Conditions
Brief summary
The primary aim is to establish baseline and change quality of life (QoL) levels for up to one year in older adults who present to Eastern Health with a fragility hip fracture (HF). Secondary aims are: 1) to validate ACS NSQIP risk calculator in older Australians after hip fracture surgery; 2) assess the correlation of MMSE score to post-operative outcomes and HRQoL 3) evaluate the relevance of intraoperative/postoperative data relating to renal function, intraoperative hypotension, and postoperative S. troponin This study will be a prospective observational cohort study. Patients will be identified after presenting with a hip fracture and be assessed for eligibility by one of the team members. Patient recruitment will occur at Box Hill Hospital or Maroondah Hospital, depending on where the patient presents or is transferred to at the time of review. Eligibility criteria includes patients aged 65 years or older who present to Eastern Health for low-trauma hip fracture, including both operative and non-operative patients. Potential participants will be evaluated within 72 hours after admission and prior to surgery. The exclusion criteria include high-energy trauma, pathological fracture, patients receiving palliative care, a history of previous hip fracture on the same side, periprosthetic fractures, patients having not decided on participation prior to surgery or after 72 hours from the time of admission, patients and proxy respondents being unable or unwilling to give valid consent, including visual, hearing, mental incompetence and non- English speaking patients or proxy respondents. Patients who die or sustain a second fracture during the follow-up period will also need to be excluded from HRQoL and functional capacity analysis. Quality of life will be assessed using the EQ-5D-5L questionnaire. Functional capacity will be evaluated using the Barthel Index. Preinjury HRQoL and disability will be assessed at time of recruitment. Participants will then be followed up at 4 and 12 months by telephone.
Interventions
Establish baseline and change quality of life (QoL) levels using the EQ-5D-5L for up to one year in older adults with a fragility hip fracture. Patients will be followed up from presentation to hospital for hip fracture up to 12 months post hip fracture. Measurement of disability will also take place using the Barthel Index. Additionally, the days alive and out of hospital (DAOH) proxy measure will be utilised to evaluate post-operative recovery, complications and mortality following hip fractur
Establish baseline and change quality of life (QoL) levels using the EQ-5D-5L for up to one year in older adults with a fragility hip fracture. Patients will be followed up from presentation to hospital for hip fracture up to 12 months post hip fracture. Measurement of disability will also take place using the Barthel Index. Additionally, the days alive and out of hospital (DAOH) proxy measure will be utilised to evaluate post-operative recovery, complications and mortality following hip fracture surgery. Mini-Mental State Examination (MMSE) and Adult Lifestyles and Function Interview Mini-Mental State Examination (ALFI-MMSE) will be used to screen for cognitive dysfunction. Patients will be assessed during their initial hospital stay and followed up over the phone at 4 and 12 months. We anticipate that each encounter will take approximately 20 minutes total of the patients' time to complete all questionnaires with the following breakdown: EQ-5D-5L approx 3 minutes, Barthel Index approx 3 minutes, DAOH approx 1 minute, MMSE/ALFI-MMSE approx 10 minutes. Patient involvement will require active participation to respond to questionnaires, but other data about the patient's hospital stay and hip fracture surgery will be obtained from the medical record.
Sponsors
Department of Anaesthesia Maroondah Hospital
Eligibility
Sex/Gender
All
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
• patients aged 65 years or older • present to Eastern Health (Maroondah or Box Hill Hospital) • low-trauma hip fracture This will include patients that are for both operative and non-operative management.
Exclusion criteria
• high-energy trauma • pathological fracture • history of previous hip fracture on the same side • periprosthetic fractures • palliative care patients • patients having not decided prior to surgery and within 72 hours of admission • non-English speaking patients or proxy respondents • patients and proxy respondents being unable or unwilling to give valid consent (including visual, hearing, mental incompetence)
Outcome results
None listed