Studying care needs after a hip fracture in the Elderly.

• Research type

  Research Study

• Full title

  An Exploratory Study: Assessing Holistic needs in Elderly patients following a Hip Fracture.

• IRAS ID

  177281

• Contact name

  Maria Debattista

• Contact email

  maria.debattista@nhs.net

• Sponsor organisation

  Lancashire Teaching Hospitals NHS Foundation Trust

• Duration of Study in the UK

  0 years, 3 months, 20 days

• Research summary

  Hip fracture is a major public health issue with about 70,000 hip fractures occuring each year in the UK. It is most common in elderly patients and is estimated to pose a greater burden on health services in the foreseeable future due to an ageing population. A hip fracture leads to a major loss of independence and cause of disability as well as increased mortality in the elderly. The 1-year mortality following hip fracture is higher than that of many solid tumours. About 10% of people with a hip fracture die within 1 month and about one-third within 12 months.
  Studies have suggested a number of factors linked to increased risk of 6-12 month mortality. The hip fracture in these situations often precedes a rapid physical and social decline, as trivial minor events in the frail elderly patients can lead to major physical decompensation.
  The goal of palliative care is "to prevent and relieve suffering and to support the best possible quality of life for patients and their families regardless of the stage of disease". A palliative care approach is appropriate for people with advanced non-malignant as well as malignant disease and therefore might benefit this group of frail elderly patients who present with a hip fracture and are expected to have a high risk of mortality and are not expected to fully recover function post operatively. The results of this study would approve or disprove our hypothesis that this group of patients with a high risk of 12 month mortality have needs that would make them benefit from a palliative approach to care in order to achieve a good quality of life and good end of life care.

• REC name

  Wales REC 6

• REC reference

  15/WA/0137

• Date of REC Opinion

  21 Apr 2015

• REC opinion

  Further Information Favourable Opinion