We expect that treatment satisfaction, quality of life and nursability after nonoperative treatment of a suspected hip fracture in nursing home patients not reffered to the hospital is regarded as satisfactory.
ID
Bron
Verkorte titel
Aandoening
Hip fracture
Ondersteuning
Onderzoeksproduct en/of interventie
Uitkomstmaten
Primaire uitkomstmaten
EuroQoL-5D (EQ-5D).
Achtergrond van het onderzoek
Hip fractures in nursing home patients are associated with poor outcome with regards to regaining pre-fracture functioning and mortality.1 Comparative studies with regards to Quality of Life (QoL) in operative and nonoperative treatment for hip fracture patients are non-existent.2 Hospital admission and especially surgery often results in cognitive decline, delirium, and complications in frail elderly. In some nursing home patients in the shade of life, the decision is made for nonoperative treatment via advanced care planning or in consultation with legal representatives at the time of a suspected fracture, and consequently the patient will not be referred to a hospital for diagnostics or treatment. However, the outcome of nonoperative treatment with regards to the quality of life, nursability, and satisfaction of caregivers and relatives are unknown. Outcomes of this treatment are needed in order to aid further decision making, advanced care planning, and expectation management in this specific hip fracture patient group with a limited life expectancy. This observational multicenter prospective case series will aim to determine the effect of non-operative management in frail nursing home patients with a suspected hip fracture on to QoL (EuroQOL-5d (EQ-5D), and treatment satisfaction.
Doel van het onderzoek
We expect that treatment satisfaction, quality of life and nursability after nonoperative treatment of a suspected hip fracture in nursing home patients not reffered to the hospital is regarded as satisfactory.
Onderzoeksopzet
day 3, 1 week, 2, 4 and 12 weeks post trauma
Onderzoeksproduct en/of interventie
Questionnaires
Algemeen / deelnemers
Wetenschappers
Belangrijkste voorwaarden om deel te mogen nemen (Inclusiecriteria)
- 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
Belangrijkste redenen om niet deel te kunnen nemen (Exclusiecriteria)
- 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
Opzet
Deelname
Voornemen beschikbaar stellen Individuele Patiënten Data (IPD)
Toelichting
Opgevolgd door onderstaande (mogelijk meer actuele) registratie
Geen registraties gevonden.
Andere (mogelijk minder actuele) registraties in dit register
Geen registraties gevonden.
In overige registers
| Register | ID |
|---|---|
| NTR-new | NL8012 |
| Ander register | METC VUmc : 2019.343 |