Care of patients experiencing hip fracture & confusion: PERFECTED CRCT
Research type
Research Study
Full title
Enhancing recovery of patients admitted to acute settings with hip fracture who are identified as experiencing confusion: a multi-centre, cluster-randomised controlled, feasibility trial of the PERFECTED Enhanced Recovery (PERFECT-ER) care versus standard acute care
IRAS ID
186320
Contact name
George Christopher Fox
Contact email
Sponsor organisation
University of East Anglia
Duration of Study in the UK
1 years, 4 months, 5 days
Research summary
This study is part of the 5-year long (2013-18) PERFECTED (Peri-operative Enhanced Recovery hip-fracture Care of paTiEnts with Dementia) research programme. Its ultimate objective is to inform a definitive bid for a large scale trial to evaluate the reliability, effectiveness and cost of delivering care via the processes and initiatives set out by the PERFECT-ER intervention. PERFECT-ER (PERFECTED Enhanced Recover process) is a ward-level service improvement intervention aiming to improve care for hip fracture patients who experience confusion.
Ten hospitals from five regions will be assigned either active or control status (five hospitals per arm). Each region will have two hospitals, one active and one control. Active arm study hospitals will implement the PERFECT-ER intervention on a single acute trauma ward. Control arm study hospitals will select a single acute trauma ward and deliver treatment as usual in that setting.
400 patients who fracture their hip and who experience confusion will be recruited into the study from across study sites; as will a "suitable informant" (those who care for or who regularly see the patient) to provide additional information. We will ask patients and suitable informants a range of questions relating to memory and daily life before and up to 6 months after the patient's hip fracture operation. Health economic data will be used to see how often NHS staff help patient participants, with patient’s place(s) of residence and mobility scores also be collected.
We will also explore stakeholder (patient, suitable informant and NHS Professionals) views on delivery of the PERFECT-ER intervention via interviews and focus groups. As part of PERFECTED’s commitment to Public and Patient Involvement, trained lay researchers will assist research interviews undertaken with suitable informants.
REC name
London - Camden & Kings Cross Research Ethics Committee
REC reference
16/LO/0621
Date of REC Opinion
4 Jul 2016
REC opinion
Further Information Favourable Opinion