Post-operative Anxiety and Depression Among Older Adults Who Undergo Surgery for Fragility Fractures

NCT ID: NCT06724484

Last Updated: 2024-12-09

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Total Enrollment

60 participants

Study Classification

OBSERVATIONAL

Study Start Date

2025-01-31

Study Completion Date

2025-12-31

Brief Summary

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Patients who present with falls and fractures can experience increased symptoms of depression and anxiety due to the trauma of falling, hospitalisation and surgery. Additionally after surgery, patients may be limited in their mobility, resulting in a loss in their independence which can lead to further feelings of frustration and helplessness. In this study we want to know how common this problem is among older people who are admitted to hospital with broken bones and subsequently receiving surgery.

We will use a questionnaire called the Hospital Anxiety and Depression Scale (HADS) to explore this. We will recruit 60 patients for this study, 30 participants who received operative management and a further 30 participants who did not receive surgery for comparison. Patients who are not able to consent to the study or those who are not able to complete the questionnaire will not be recruited. We will collect routine data from the patients to provide a description of the patients that we are studying. Patients will complete the HADS questionnaire once during their hospital stay and then in 1 month's time. We will contact patients through telephone for the 1 month follow up.

This study will enable us to determine how common are the symptoms of anxiety and depression among this group of patients. This will help raise awareness of the problem which may prompt further intervention and management plan to address this important issue.

Detailed Description

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Conditions

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Fractures in the Elderly

Keywords

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Fragility fracture Anxiety Depression Surgery

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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Fragility fracture receiving surgery

In this group, patients who sustain a fragility fracture and receive surgical intervention will be recruited.

Surgical management of fracture

Intervention Type PROCEDURE

Surgical management of fracture

Control

In this group, patients who sustain fragility fracture and receive conservative (non-surgical) management will be recruited.

No intervention

Intervention Type OTHER

No intervention

Interventions

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Surgical management of fracture

Surgical management of fracture

Intervention Type PROCEDURE

No intervention

No intervention

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Age 65 years and above
* Received operative or non-operative management of fragility fracture
* Able to provide written consent

Exclusion Criteria

* Patients receiving end of life care
* Patients with known diagnosis of severe dementia and/ or lack capacity to consent
* Non-fragility fracture
Minimum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Southampton

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Stephen Lim, BM, MRCP (UK), PhD

Role: PRINCIPAL_INVESTIGATOR

University of Southampton

Locations

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Academic Geriatric Medicine, University of Southampton

Southampton, Hampshire, United Kingdom

Site Status

Countries

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United Kingdom

Central Contacts

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Stephen Lim, BM, MRCP (UK), PhD

Role: CONTACT

Phone: 442381206130

Email: [email protected]

Samantha Meredith

Role: CONTACT

Email: [email protected]

References

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Frenkel WJ, Jongerius EJ, Mandjes-van Uitert MJ, van Munster BC, de Rooij SE. Validation of the Charlson Comorbidity Index in acutely hospitalized elderly adults: a prospective cohort study. J Am Geriatr Soc. 2014 Feb;62(2):342-6. doi: 10.1111/jgs.12635. Epub 2014 Jan 21.

Reference Type BACKGROUND
PMID: 24521366 (View on PubMed)

Other Identifiers

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94213

Identifier Type: -

Identifier Source: org_study_id