Morbidity outcomes following hip fracture
Research type
Research Study
Full title
Morbidity outcomes associated with length of hospital stay in hip fracture patients (MOHF): public perception.
IRAS ID
167614
Contact name
Iain Moppett
Contact email
Sponsor organisation
University of Nottingham
Duration of Study in the UK
0 years, 9 months, 0 days
Research summary
Hip fracture among the elderly is a global public health problem.In the United Kingdom (UK), it represents a high volume of common serious injury in older people. The disease is not just disabling but also costly to the patients, carers, the NHS, as well as the economy, leading to huge social, medical and financial burdens. Around 76 000 patients sustain a hip fracture every year in the UK, and numbers are predicted to rise, in keeping with the global projections. The total yearly estimated cost is around £1.4 billion (1% of the NHS budget), and this figure doubles when the social care and related dependency costs are taken into consideration. The average length of hospital stay in this population group is about 26 days, using over 1 million inpatient days with in-patient care contributing at least 50% of the costs. Post-operative death rate in this patient population is 7-11% at 1 month, 16-28% at 6 months and 22-37% at 1 year, and in hospital morbidity (including complications) rates from 17-50%.
Despite such a huge burden of the disease,outcomes currently reported in the literature do not consistently reflect endpoints that are meaningful for patients.Patients’(and other stakeholders such as healthcare professionals and patients' relatives') perspectives about health outcomes are always relevant particularly in regard to reasons they perceive impede early discharge following hip fracture surgery.
The primary purpose of the study is to investigate factors perceived by stakeholders to influence length of hospital stay in hip fracture patients and to develop and validate a tool for the identification and quantification of postoperative morbidity after fragility hip fracture surgery.REC name
East Midlands - Leicester South Research Ethics Committee
REC reference
15/EM/0054
Date of REC Opinion
21 Jan 2015
REC opinion
Favourable Opinion