(duplicate) Care of patients experiencing hip fracture & confusion: PE
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
205905
Contact name
George Christopher Fox
Contact email
Duration of Study in the UK
1 years, 4 months, 5 days
Research summary
This trial and qualitative study are part of the 5-year long (2013-18) PERFECTED (Peri-operative Enhanced Recovery hip-fracture Care of paTiEnts with Dementia) research programme. The ultimate objective of this trial is to inform a definitive bid for a large scale trial to evaluate the fidelity, effectiveness and cost implications of the PERFECT-ER intervention. PERFECT-ER is a manualised multicomponent, multidisciplinary ward-level service improvement intervention aimed to improve care delivered to hip fracture patients who experience confusion. This application relates to Work Package 3 (WP3) of PERFECTED only.
This multicentre interventional study is an open trial which will use a cluster randomised controlled design. 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.
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 as proxies. The team 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. Patient’s resource use, place(s) of residence and mobility will also be collected.
A qualitative study will 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
Scotland A REC
REC reference
16/SS/0086
Date of REC Opinion
28 Jun 2016
REC opinion
Further Information Favourable Opinion