HIP Fracture REhabilitation Programme (HIP-REP)

Carsten Bogh Juhl

Status: Completed

Conditions: Hip Fractures

Treatments: Other: Usual care; Other: HIP-REP

Study type: Interventional

Funder types: Other

Identifiers

NCT04207788

H-19066989

Details and patient eligibility

About

Objectives: To evaluate the effect of a HIP-REP on the quality and independence in ADL ability (performance), measured with the Assessment of Motor and Process Skills (AMPS) and health-related Quality of Life (QoL).

Hypothesis: The HIP-REP will increase the quality and independence in ADL performance, measured with AMPS and health-related QoL measure.

Full description

Little is known about the effect of an intersectoral rehabilitation intervention aiming at reducing the decrease in Activities of Daily Living (ADL) ability for elderly with hip fractures. Despite positive surgical outcomes, one-quarter dies within a year after surgery, around eight percent are readmitted to hospital, and just one-third regain their pre-fracture level of physical functioning and ADL ability. After hip fracture, the loss of independence, and further decrease in ADL ability often persists beyond three months after surgery. This increases the risk of social isolation, depression and thus a decrease in QoL. Therefore, the investigators want to evaluate whether an activity-based rehabilitation intervention across sectors is effective and influences this fragile group of patients. The investigators hope to increase the ability to safely and independently perform ADL in elderly with hip fractures, and thereby enhance their health-related QoL.

Enrollment: 80 patients

Sex: All

Ages: 65+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Aged 65 years or older
• Recent proximal hip fracture (S 72.0 medial femur fracture, S 72.1, pertrochanteric femur fracture, S 72.2 subtrochanteric femur fracture)
• Living at home prior to hip fracture in Herlev, Gentofte, Furesoe, Rudersdal or Lyngby-Taarbæk municipalities
• Ability to give informed consent

Exclusion criteria

• Not expected to be discharged to home or rehabilitation centers in the municipality
• Not able to speak and/or understand Danish
• Have prior severe physical and /or mental disabilities

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Quadruple Blind

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80 participants in 2 patient groups

Intervention

Experimental group

Description:

HIP-REP programme offers elderly with hip fracture add on activity-focused interventions.

Treatment:

Other: HIP-REP

Usual care

Active Comparator group

Description:

The elderly with hip fracture in the control group will receive usual care.

Treatment:

Other: Usual care