Proximal femoral fracture
Conditions
Interventions
Patients in the intervention group will be treated nonoperatively. The control group will receive operative management.
Sponsors
Noordwest Ziekenhuisgroep, Department of Surgery
Eligibility
Inclusion criteria
Inclusion criteria: 1) Frail institutionalized elderly person (i.e., 70 years or older, living in a nursing home pretrauma, who either are malnutritioned (cachexia of BMI<18.5 kg/m2), or had mobility issues (FAC 2 or less), or have an ASA class of 4 or 5) 2) Acute proximal femoral fracture, confirmed on X-ray or CT-scan 3) Informed consent by patient, or by proxy in patients with mental impairment
Exclusion criteria
Exclusion criteria: 1) Bilateral proximal femoral fractures 2) Periprosthetic fracture 3) Fracture diagnosed > 7 days after trauma 4) Patients with a known metastatic disease and a confirmed pathological fracture of the proximal femur 5) Insufficient comprehension of Dutch language to understand rehabilitation programs and other treatment information (this applies to the person signing consent, being either the patient or proxy) 6) Participation in another surgical intervention or drug study that might influence any of the outcome parameters
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Quality of life, measured with the EuroQoL-5D | — |
Secondary
| Measure | Time frame |
|---|---|
| Quality of life measured with the QUALIDEM; pain and pain medication; satisfaction of patient (or proxy) and caregivers with the management approach; time to death; direct medical costs. | — |
Contacts
Public ContactP. Joosse
Noordwest Ziekenhuisgroep, dept. of Surgery
Outcome results
None listed