Trial reportBMC geriatrics2015
The long-term effect of being treated in a geriatric ward compared to an orthopaedic ward on six measures of free-living physical behavior 4 and 12 months after a hip fracture - a randomised controlled trial.
Trial report in BMC geriatrics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00667914 (A New Clinical Pathway for Patients With Fractured Neck of Femur - The Orthopedics Operate, the Geriatricians Manage the Medical Work-up), which is not on this map. Cited by 20 papers, 4 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
A New Clinical Pathway for Patients With Fractured Neck of Femur - The Orthopedics Operate, the Geriatricians Manage the Medical Work-up
Who cites it
20 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Perspectives of health professionals on physical activity and sedentary behaviour in hospitalised adults: A systematic review and thematic synthesis.Clinical rehabilitation · 2023Pooled it
- Comprehensive geriatric assessment (CGA) in perioperative care: a systematic review of a complex intervention.BMJ open · 2022Pooled it
- Multidisciplinary rehabilitation for older people with hip fractures.The Cochrane database of systematic reviews · 2021Pooled it
- Comprehensive geriatric assessment for older people admitted to a surgical service.The Cochrane database of systematic reviews · 2018Pooled it
- Patterns of drug prescriptions in an orthogeriatric ward as compared to orthopaedic ward: results from the Trondheim Hip Fracture Trial-a randomised clinical trial.European journal of clinical pharmacology · 2017Trial
- Evaluating the Accuracy and Reliability of Real-World Digital Mobility Outcomes in Older Adults After Hip Fracture: Cross-Sectional Observational Study.JMIR formative research · 2025Observational
- Characteristics of Early Postoperative Sedentary Time in Patients with Hip Fractures.Progress in rehabilitation medicine · 2025Article
- Real-world mobility recovery after hip fracture: secondary analyses of digital mobility outcomes from four randomized controlled trials.Age and ageing · 2024Article
- Evaluation of mobility recovery after hip fracture: a scoping review of randomized controlled studies.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2024Article
- The impact of cognitive function on physical activity, physical function and quality of life in older adults following a hip fracture.Age and ageing · 2023Article
- Mobility and Hip Function Among Geriatric Patients With Displaced Neck of Femur Fractures Treated With Arthroplasty.Geriatric orthopaedic surgery & rehabilitation · 2023Article
- [The first steps after a proximal femoral fracture : Sensor-based mobility exploration in geriatric trauma patients].Zeitschrift fur Gerontologie und Geriatrie · 2021Article
- Change of physical activity parameters of hip and pelvic fracture patients during inpatient rehabilitation and after discharge: analysis of global and in-depth parameters.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2021Article
- Consensus based framework for digital mobility monitoring.PloS one · 2021Article
- Sedentary Behaviour in Hospitalised Older People: A Scoping Review.International journal of environmental research and public health · 2020Article
- Sedentary behaviour in hospitalised older people: a scoping review protocol.Systematic reviews · 2020Article
- Predictive Modeling for Geriatric Hip Fracture Patients: Early Surgery and Delirium Have the Largest Influence on Length of Stay.The Journal of the American Academy of Orthopaedic Surgeons · 2019Article
- Quality of life and psychological consequences in elderly patients after a hip fracture: a review.Clinical interventions in aging · 2018Review
- Trauma in elderly patients: a study of prevalence, comorbidities and gender differences.Il Giornale di chirurgiaArticle
- Whats New in Emergencies Trauma and Shock? Age and Trauma: Geriatric Trauma Patients and Geriatric Trauma Ward Services.Journal of emergencies, trauma, and shockArticle
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis study is part of the Trondheim Hip Fracture Trial, where we compared free-living physical behavior in daily life 4 and 12 months following hip surgery for patients managed with comprehensive geriatric care (CGC) in a geriatric ward with those managed with orthopedic care (OC) in an orthopedic ward.
methodsThis is a single centre, prospective, randomized controlled trial. 397 hip fracture patients were randomized to CGC (n = 199) or OC (n = 198) in the Emergency Department with follow-up assessments performed four and 12 months post-surgery. Outcomes were mean upright time, number and length of upright events recorded continuously for four days at four and 12 months post-surgery by an accelerometer-based activity monitor. Missing data were handled by multiple imputation and group differences assessed by linear regression with adjustments for gender, age and fracture type.
resultsThere were no group differences in participants' pre-fracture characteristics. Estimated group difference in favor of CGC in upright time at 4 months was 34.6 min (17.4 %, CI 9.6 to 59.6, p = .007) and at 12 months, 27.7 min (13.9 %, CI 3.5 to 51.8, p = .025). Average and maximum length of upright events was longer in the CGC (p's < .042). No group difference was found for number of upright events (p's > .452).
conclusionParticipants treated with CGC during the hospital stay improved free-living physical behavior more than those treated with OC both 4 and 12 months after surgery, with more time and longer periods spent in upright. Results support findings from the same study for functional outcomes, and demonstrate that CGC impacts daily life as long as one year after surgery. TRIALS REGISTRATION: ClinicalTrials.gov, NCT00667914 , April 18, 2008.
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