Evidence map›Paper›PMID 38238172›Full record

ArticleBMJ open2024

HIP fracture Supplemental Therapy to Enhance Recovery (HIPSTER): a protocol for a randomised controlled trial.

Lara A Kimmel, Eleanor Raper, Ian A Harris, Ilana N Ackerman, Richard Page, Justine M Naylor, Angela T Burge, Graham Hepworth, Anthony Harris, Maame Esi Woode and 3 more

Abstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Lara A KimmelDepartment of Physiotherapy, Alfred Health, Melbourne, Victoria, Australia L.kimmel@alfred.org.au.
Eleanor RaperDepartment of Physiotherapy, Alfred Health, Melbourne, Victoria, Australia.ORCID 0009-0005-3162-5390
Ian A HarrisWhitlam Orthopaedic Research Centre, Ingham Institute for Applied Medical Research, Liverpool, New South Wales, Australia.ORCID 0000-0003-0887-7627
Ilana N AckermanSchool of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.ORCID 0000-0002-6028-1612
Richard PageSchool of Medicine, Deakin University Faculty of Health, Geelong, Victoria, Australia.ORCID 0000-0002-2225-7144
Justine M NaylorWhitlam Orthopaedic Research Centre, Ingham Institute for Applied Medical Research, Liverpool, New South Wales, Australia.
Angela T BurgeDepartment of Physiotherapy, Alfred Health, Melbourne, Victoria, Australia.
Graham HepworthStatistical Consulting Centre, The University of Melbourne, Melbourne, Victoria, Australia.
Anthony HarrisCentre for Health Economics, Monash University, Melbourne, Victoria, Australia.ORCID 0000-0003-1641-3320
Maame Esi WoodeCentre for Health Economics, Monash University, Melbourne, Victoria, Australia.
Belinda J GabbeSchool of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Christina L EkegrenRehabilitation, Ageing and Independent Living (RAIL) Research Centre, School of Primary and Allied Health Care, Monash University, Melbourne, Victoria, Australia.
Anne E HollandDepartment of Physiotherapy, Alfred Health, Melbourne, Victoria, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionHip fractures result in substantial health impacts for patients and costs to health systems. Many patients require prolonged hospital stays and up to 60% do not regain their prefracture level of mobility within 1 year. Physical rehabilitation plays a key role in regaining physical function and independence; however, there are no recommendations regarding the optimal intensity. This study aims to compare the clinical efficacy and cost-effectiveness of early intensive in-hospital physiotherapy compared with usual care in patients who have had surgery following a hip fracture. METHODS AND ANALYSIS: This two-arm randomised, controlled, assessor-blinded trial will recruit 620 participants who have had surgery following a hip fracture from eight hospitals. Participants will be randomised 1:1 to receive usual care (physiotherapy according to usual practice at the site) or intensive physiotherapy in the hospital over the first 7 days following surgery (two additional sessions per day, one delivered by a physiotherapist and the other by an allied health assistant). The primary outcome is the total hospital length of stay, measured from the date of hospital admission to the date of hospital discharge, including both acute and subacute hospital days. Secondary outcomes are functional mobility, health-related quality of life, concerns about falling, discharge destination, proportion of patients remaining in hospital at 30 days, return to preadmission mobility and residence at 120 days and adverse events. Twelve months of follow-up will capture data on healthcare utilisation. A cost-effectiveness evaluation will be undertaken, and a process evaluation will document barriers and facilitators to implementation. ETHICS AND DISSEMINATION: The Alfred Hospital Ethics Committee has approved this protocol. The trial findings will be published in peer-reviewed journals, submitted for presentation at conferences and disseminated to patients and carers. TRIAL REGISTRATION NUMBER: ACTRN12622001442796.

Indexed as

Hip FracturesQuality of LifeHospitalizationHumansPhysical Therapy ModalitiesRandomized Controlled Trials as TopicTreatment Outcomeagedaged, 80 and overhiphospitalizationphysical therapy modalitiesrehabilitation medicine

Identifiers

PMID38238172
PMCPMC10806657

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.