The University of Southampton
University of Southampton Institutional Repository

Southampton Arm Fracture Frailty and Sarcopenia Study (SAFFSS): a study protocol for the feasibility of assessing frailty and sarcopenia among older patients with an upper limb fracture

Southampton Arm Fracture Frailty and Sarcopenia Study (SAFFSS): a study protocol for the feasibility of assessing frailty and sarcopenia among older patients with an upper limb fracture
Southampton Arm Fracture Frailty and Sarcopenia Study (SAFFSS): a study protocol for the feasibility of assessing frailty and sarcopenia among older patients with an upper limb fracture
Introduction: falls are a major health problem for older people; 35% of people aged 65+ years fall every year, leading to fractures in 10 - 15%. Upper limb fractures are often the first sign of osteoporosis and routine screening for osteoporosis is recommended by NICE to prevent subsequent hip fractures. However, both frailty and sarcopenia (muscle weakness) are associated with increased risk of falling and fracture but are not routinely identified in this group. The aim of this study is to evaluate the feasibility of assessing and managing frailty and sarcopenia among people aged 65+ years with an upper limb fracture.

Methods and analysis: this study will be conducted in three fracture clinics in one acute trust in England. 100 people aged 65+ years with an upper arm fracture will be recruited and assessed using six validated frailty measures and two sarcopenia tools. The prevalence of the two conditions and the best tools to use will be determined. Those with either condition will be referred to geriatric clinical teams for comprehensive geriatric assessment (CGA). We will document the proportion who are referred for CGA and those who receive CGA. Other outcome measures including falls, fractures, and healthcare resource use over 6 months will be collected. In-depth interviews with a purposive sample of patients who undergo the frailty and sarcopenia assessments and healthcare professionals in fracture clinics and geriatric services will be carried out to their acceptability of assessing frailty and sarcopenia in a busy environment.

Ethics and dissemination: the study was given the relevant ethical approvals from NHS Research Ethics Committee (REC Number: 18/NE/0377), the University Hospital Southampton NHS Foundation Trust, and the University of Southampton, Faculty of Medicine Ethics Committee and Research Governance Office. Findings will be published in scientific journals and presented local, national, and international conferences.
Registration: The study is registered at The ISRCTN register 13848445

2044-6055
Ibrahim, Kinda
54f027ad-0599-4dd4-bdbf-b9307841a294
Mullee, Mark
fd3f91c3-5e95-4f56-8d73-260824eeb362
Yao, Lily
7b003c8c-4478-479e-9071-418ea4c503fb
Zhu, Shihua
13511f9c-151c-483c-9dfd-2da13421db5c
Baxter, Mark
c6f3b5d2-090d-49c4-99f0-a9e12cb65b5b
Tilley, Simon
fc6eeb2f-ffb5-4cc9-9565-c7c40175c284
Russell, Cynthia
7004bba9-a609-47ed-9b7c-898eb3f2caa1
Roberts, Helen
5ea688b1-ef7a-4173-9da0-26290e18f253
Ibrahim, Kinda
54f027ad-0599-4dd4-bdbf-b9307841a294
Mullee, Mark
fd3f91c3-5e95-4f56-8d73-260824eeb362
Yao, Lily
7b003c8c-4478-479e-9071-418ea4c503fb
Zhu, Shihua
13511f9c-151c-483c-9dfd-2da13421db5c
Baxter, Mark
c6f3b5d2-090d-49c4-99f0-a9e12cb65b5b
Tilley, Simon
fc6eeb2f-ffb5-4cc9-9565-c7c40175c284
Russell, Cynthia
7004bba9-a609-47ed-9b7c-898eb3f2caa1
Roberts, Helen
5ea688b1-ef7a-4173-9da0-26290e18f253

Ibrahim, Kinda, Mullee, Mark, Yao, Lily, Zhu, Shihua, Baxter, Mark, Tilley, Simon, Russell, Cynthia and Roberts, Helen (2019) Southampton Arm Fracture Frailty and Sarcopenia Study (SAFFSS): a study protocol for the feasibility of assessing frailty and sarcopenia among older patients with an upper limb fracture. BMJ Open, 9 (8), [e031275]. (doi:10.1136/bmjopen-2019-031275).

Record type: Article

Abstract

Introduction: falls are a major health problem for older people; 35% of people aged 65+ years fall every year, leading to fractures in 10 - 15%. Upper limb fractures are often the first sign of osteoporosis and routine screening for osteoporosis is recommended by NICE to prevent subsequent hip fractures. However, both frailty and sarcopenia (muscle weakness) are associated with increased risk of falling and fracture but are not routinely identified in this group. The aim of this study is to evaluate the feasibility of assessing and managing frailty and sarcopenia among people aged 65+ years with an upper limb fracture.

Methods and analysis: this study will be conducted in three fracture clinics in one acute trust in England. 100 people aged 65+ years with an upper arm fracture will be recruited and assessed using six validated frailty measures and two sarcopenia tools. The prevalence of the two conditions and the best tools to use will be determined. Those with either condition will be referred to geriatric clinical teams for comprehensive geriatric assessment (CGA). We will document the proportion who are referred for CGA and those who receive CGA. Other outcome measures including falls, fractures, and healthcare resource use over 6 months will be collected. In-depth interviews with a purposive sample of patients who undergo the frailty and sarcopenia assessments and healthcare professionals in fracture clinics and geriatric services will be carried out to their acceptability of assessing frailty and sarcopenia in a busy environment.

Ethics and dissemination: the study was given the relevant ethical approvals from NHS Research Ethics Committee (REC Number: 18/NE/0377), the University Hospital Southampton NHS Foundation Trust, and the University of Southampton, Faculty of Medicine Ethics Committee and Research Governance Office. Findings will be published in scientific journals and presented local, national, and international conferences.
Registration: The study is registered at The ISRCTN register 13848445

Text
revised-Protocol paper for BMJ Open-6-2019 - Accepted Manuscript
Download (95kB)
Text
e031275.full - Version of Record
Available under License Creative Commons Attribution.
Download (528kB)

More information

Accepted/In Press date: 4 June 2019
e-pub ahead of print date: 15 August 2019
Published date: August 2019

Identifiers

Local EPrints ID: 432214
URI: http://eprints.soton.ac.uk/id/eprint/432214
ISSN: 2044-6055
PURE UUID: 7c40df46-6ba7-4a22-8fb2-4087903280dd
ORCID for Kinda Ibrahim: ORCID iD orcid.org/0000-0001-5709-3867
ORCID for Helen Roberts: ORCID iD orcid.org/0000-0002-5291-1880

Catalogue record

Date deposited: 04 Jul 2019 16:30
Last modified: 27 Feb 2024 05:09

Export record

Altmetrics

Contributors

Author: Kinda Ibrahim ORCID iD
Author: Mark Mullee
Author: Lily Yao
Author: Shihua Zhu
Author: Mark Baxter
Author: Simon Tilley
Author: Cynthia Russell
Author: Helen Roberts ORCID iD

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×