Condition category
Injury, Occupational Diseases, Poisoning
Date applied
21/08/2014
Date assigned
16/09/2014
Last edited
16/09/2014
Prospective/Retrospective
Retrospectively registered
Overall trial status
Completed
Recruitment status
No longer recruiting

Plain English Summary

Background and study aims
Hip fracture is a common injury amongst older adults and has a great impact on the health and independence of patients and therefore their families. People with dementia have a four-fold increased risk of hip fracture compared to those without mental problems. They also have a higher death rate and greater risk of complications. Improving critical hospital care for people with dementia is very important, as this group is particularly vulnerable to poor quality care. This research study aims to develop and test an evidence-based intervention to improve the hospital care of patients with dementia suffering a fractured hip. The study will also look at the cost and resource required to deliver that care.

Who can participate?
Any healthcare professional working in a ward or emergency department can take part.

What does the study involve?
Experienced researchers will select and train members of the public as research observers to help in observing the way healthcare professionals treat patients in an ortho-geriatric ward (where older patients with orthopaedic issues are seen) and the Emergency Department (ED) in each of the partner hospitals. Data collected will be in the form of field notes and these will be analysed.

What are the possible benefits and risks of participating?
Participants will be contributing to the study and will help to improve care for hip fracture patients and particularly those who have dementia. The risks and burdens to the participant group are extremely minimal in that the observation is non-invasive and should not affect their usual daily tasks and care of patients.

Where is the study run from?
The study runs from three hospitals in the UK:
1. Norfolk and Norwich University Hospital
2. Bradford Royal Infirmary
3. Queen’s Medical Centre in Nottingham

When is the study starting and how long is it expected to run for?
The study starts in September 2014 and runs until February 2015.

Who is funding the study?
National Institute for Health Research (UK).

Who is the main contact?
Dr Simon Hammond
s.hammond@uea.ac.uk

Trial website

http://www.perfected.ac.uk

Contact information

Type

Scientific

Primary contact

Dr Simon Hammond

ORCID ID

Contact details

Earlham Road
Norwich
NR4 7TJ
United Kingdom
s.hammond@uea.ac.uk

Additional identifiers

EudraCT number

ClinicalTrials.gov number

NCT02212353

Protocol/serial number

16998

Study information

Scientific title

Care delivery in acute hospital settings: an observational study

Acronym

PERFECTED

Study hypothesis

The study aims to describe the delivery of care by healthcare professionals to patients who have broken their hips in ward and emergency department contexts. Learning gained will inform the creation of an enhanced recovery pathway for people with dementia who have broken their hip.

Ethics approval

MREC; 09/06/2014; 14/EM/1020

Study design

Non-randomised; Observational; Design type: Qualitative

Primary study design

Observational

Secondary study design

Other

Trial setting

Hospitals

Trial type

Treatment

Patient information sheet

Not available in web format, please use the contact details below to request a participant information sheet

Condition

Topic: Injuries and emergencies, Musculoskeletal disorders, Ageing; Subtopic: Injuries and Emergencies (all Subtopics), Musculoskeletal (all Subtopics), Ageing; Disease: Injuries and Emergencies, Musculoskeletal, All Ageing

Intervention

The study aims to describe the delivery of care by healthcare professionals to patients who have broken their hips in ward and emergency department contexts. We will use focused ethnographic observations to provide a thick description of the care climate and will elicit the perspectives of healthcare professionals delivering care within the two observational environments.

Intervention type

Other

Phase

Not Applicable

Drug names

Primary outcome measures

The description constructed will provide knowledge for subsequent phases of the five-year perfected programme. This will culminate in the creation and evaluation of an enhanced recovery pathway for people dementia are broken their hip.

Secondary outcome measures

Not provided at time of registration

Overall trial start date

08/09/2014

Overall trial end date

01/02/2015

Reason abandoned

Eligibility

Participant inclusion criteria

1. Any healthcare professional assigned to work within either the selected ward or emergency department.
2. Target Gender: Male & Female

Participant type

Patient

Age group

Adult

Gender

Both

Target number of participants

Planned Sample Size: 150; UK Sample Size: 150

Participant exclusion criteria

Due to the sample of participants selected and methodology employed there are no exclusion criteria - any consenting participant is able to take part

Recruitment start date

08/09/2014

Recruitment end date

01/02/2015

Locations

Countries of recruitment

United Kingdom

Trial participating centre

Earlham Road
Norwich
NR4 7TJ
United Kingdom

Sponsor information

Organisation

University of East Anglia (UK)

Sponsor details

School of Biological Sciences
Norwich
NR4 7TJ
United Kingdom

Sponsor type

University/education

Website

Funders

Funder type

Government

Funder name

NIHR Programme Grants for Applied Research (UK); Grant Codes: DTC-RP-PG-0311-12004

Alternative name(s)

Funding Body Type

Funding Body Subtype

Location

Results and Publications

Publication and dissemination plan

Not provided at time of registration

Intention to publish date

Participant level data

Not provided at time of registration

Results - basic reporting

Publication summary

Publication citations

Additional files

Editorial Notes