Hip fracture
Conditions
Interventions
Questionnaires
Sponsors
Noordwest Ziekenhuisgroep, department of surgery
Eligibility
Inclusion criteria
Inclusion criteria: - Permanent residency in a nursing home - Aged = 65 years old - Suspected hip fracture, as judged by the elderly care physician (i.e., shortened and exorotated leg, painful greater trochanter/groin upon palpation, unable to bear weight and/or to mobilize) - Decision to provide nonoperative treatment at the nursing home without referral to a hospital - Provision of informed consent by patient or legal representative within four days after sustaining the suspected hip fracture
Exclusion criteria
Exclusion criteria: - Insufficient comprehension of Dutch language to understand treatment information (this applies to the person signing consent, being either the patient or proxy) - Participation in another surgical intervention or drug study that might influence any of the outcome parameters
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| EuroQoL-5D (EQ-5D). | — |
Secondary
| Measure | Time frame |
|---|---|
| - Satisfaction of the patient (or proxy) with the nonoperative treatment (0-10 Numeric Rating Scale). - Satisfaction of the patient’s treating elderly care physician with the nonoperative treatment (0-10 Numeric Rating Scale) - Quality of life: QUALIDEM (DL010) measures quality of life in persons with dementia (regardless of severity) who live in a nursing home or elderly care facility.5 It is completed by the medical staff. - Level of pain: The Pain Assessment Checklist for Seniors with Limited Ability to Communicate (PACSLAC) is a clinically useful scale for assessing pain in patients with dementia.6 It is completed by medical staff. - Discomfort and agitation/restlessness: the Neuropsychiatric Inventory Questionnaire (NPI-Q) will be used to address this issue. It is completed by the medical staff.7 A Dutch translation will be used. - Amount of analgesic medications used: Daily narcotic use will be calculated using the equivalence scale for 30 mg/day oral morphine. - Complications: Complications will be categorized for level of severity and treatment necessity according to the Clavien-Dindo classification - Quality of Dying and Death (QODD): This is a 17-item interview-based questionnaire asking about 17 end-of-life priorities.8 This interview is with next of kin. | — |
Contacts
Public ContactSverre Loggers
Noordwest Ziekenhuisgroep, dept. of Surgery
Outcome results
None listed