Evidence map›Paper›PMID 39548386›Full record

Trial reportBMC geriatrics2024

Facilitating the transition from hospital to home after hip fracture surgery: a qualitative study from the HIP HELPER trial.

A Welsh, S Hanson, K Pfeiffer, R Khoury, A Clark, K Grant, P-A Ashford, S Hopewell, P A Logan, M Crotty and 4 more

Abstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC geriatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. 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

14 authors.

A WelshCarnegie School of Sport, Leeds Beckett University, Leeds, UK. a.welsh@leedsbeckett.ac.uk.
S HansonFaculty of Medicine and Health Sciences, University of East Anglia, Norwich, UK.
K PfeifferDepartment of Geriatric Rehabilitation, Robert-Bosch-Hospital, Stuttgart, Germany.
R KhouryFaculty of Medicine and Health Sciences, University of East Anglia, Norwich, UK.
A ClarkFaculty of Medicine and Health Sciences, University of East Anglia, Norwich, UK.
K GrantFaculty of Medicine and Health Sciences, University of East Anglia, Norwich, UK.
P-A AshfordFaculty of Medicine and Health Sciences, University of East Anglia, Norwich, UK. P.Ashford@uea.ac.uk.
S HopewellNuffield Department of Rheumatology, Orthopaedics and Musculoskeletal Sciences, University of Oxford, Oxford, UK.
P A LoganSchool of Medicine, University of Nottingham, Nottingham, UK.
M CrottyCollege of Medicine and Public Health, Flinders University, Adelaide, Australia.
M L CostaNuffield Department of Rheumatology, Orthopaedics and Musculoskeletal Sciences, University of Oxford, Oxford, UK.
S E LambCollege of Medicine and Health Sciences, University of Exeter, Exeter, UK.
T O SmithFaculty of Medicine and Health Sciences, University of East Anglia, Norwich, UK.
HIP HELPER Study Collaborators

Funding

Research for Patient Benefit Programme NIHR200731
6 · The paper itself

Abstract

backgroundPeople post-hip fracture have reported experiences of fragmented care and poor discharge planning, therefore improvements in patient flow are required. This study reports the challenges people face during the discharge process and offers potential solutions for improving the transition from hospital to home from the perspectives of patients, carers, and health professionals.

methodsThis was a qualitative study embedded within a multi-centre, feasibility randomised controlled trial (HIP HELPER). We undertook semi-structured interviews with 10 patient-carer dyads (10 people with hip fracture; 10 unpaid carers) and eight health professionals (four physiotherapists, two occupational therapists, one nurse and one physiotherapy researcher) between November 2021 and March 2022. Data were analysed using the principles of Framework Analysis.

resultsParticipants identified challenges in the transition from hospital to home post-hip fracture surgery: ineffective communication, disjointed systems, untimely services and 'it's more than just the hip'. Possible solutions and insights to facilitate this transition included the need for reassurance, collaborative planning, and individualisation.

conclusionThe transition from hospital to home following hip fracture surgery can be a challenging experience for patients, and for friends and family who support them as carers, making them feel vulnerable, frustrated and uncertain. Enabling a coordinated, collaborative approach to discharge planning and early recovery provision is considered a positive approach to improving NHS care.

trial registrationISRCTN13270387. Registered 29th October 2020.

Indexed as

Hip FracturesHome Care ServicesPatient DischargeQualitative ResearchAgedAged, 80 and overCaregiversFeasibility StudiesFemaleHumansMaleMiddle AgedHip fractureQualitativeRehabilitationTransition

Identifiers

PMID39548386
PMCPMC11566269

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Registered trials

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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.