Mobility After Surgery for Hip fractures (MASH)
Research type
Research Study
Full title
Mobility After Surgery for Hip fractures (MASH) – feasibility of an assessment tool.
IRAS ID
256826
Contact name
James Berwin
Contact email
Sponsor organisation
Gloucestershire Royal Hospital
Duration of Study in the UK
0 years, 3 months, 0 days
Research summary
The problem:
‘Starting rehabilitation at least once a day, no later than the day after surgery’, is a key quality standard set by NICE for the management of hip fractures. Capturing data on the timing and frequency of rehabilitation is challenging to do quantitatively and qualitatively.
The National Hip Fracture Database (NHFD) found that patient mobilisation the day after surgery improved from 73.3% to 77.3% from 2016 to 2017, however, the National Hip Sprint audit, 2017, found this stands closer to 68%. Patients averaged 2 hours of physiotherapy in the first week post-op, but 43% missed a day’s therapy, as no physiotherapist was available.The NHFD asks whether ‘patients were able to get out of bed by being helped to stand or being hoisted out of bed’.
The Hip Sprint audit served to highlight variation in performance against this indicator, suggesting a degree of inaccuracy of measuring patient mobility.
The question:
Is it possible to accurately track a patient’s mobility in the first seven days after hip fracture surgery?
Could we use these measurements of mobility to highlight ways in which the delivery of physiotherapy can be improved?
Methodology:
AcitvPAL is a non-invasive wireless wearable device that can give accurate measurements of activity. The small, lightweight device is worn discretely on the patient’s thigh for a week at a time.
We propose a feasibility study at Gloucestershire Royal Hospital of 50 consecutive adult hip fracture patients over the age of 60yrs collecting data from the ActivPAL device after it is worn for seven days.
Outcomes:
• Identify the feasibility of using ActivPAL to accurately collect data on daily activity and mobility in a cohort of hip fracture patients in the first seven days after hip fracture surgery.
• Compare the data collected by ActivPAL with the documentation of mobility by physiotherapists
REC name
Wales REC 7
REC reference
19/WA/0016
Date of REC Opinion
23 Jan 2019
REC opinion
Favourable Opinion