Hip precautions after hip operation (HippityHop): protocol for a before and after study evaluating hip precautions following total hip replacement

Introduction Hip precautions are routinely used despite inconclusive evidence that they reduce dislocations, and concern that they impede activities of daily living. HippityHop compares a change in practice locally from implementing routine hip precautions to no routine precautions, in order to: 1....

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Main Authors: Lightfoot, C.J., Sehat, K.R., Drury, G., Brewin, C., Coole, C., Drummond, Avril E.R.
Format: Article
Language:English
Published: SAGE 2018
Subjects:
Online Access:https://eprints.nottingham.ac.uk/50806/
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author Lightfoot, C.J.
Sehat, K.R.
Drury, G.
Brewin, C.
Coole, C.
Drummond, Avril E.R.
author_facet Lightfoot, C.J.
Sehat, K.R.
Drury, G.
Brewin, C.
Coole, C.
Drummond, Avril E.R.
author_sort Lightfoot, C.J.
building Nottingham Research Data Repository
collection Online Access
description Introduction Hip precautions are routinely used despite inconclusive evidence that they reduce dislocations, and concern that they impede activities of daily living. HippityHop compares a change in practice locally from implementing routine hip precautions to no routine precautions, in order to: 1. Compare patient outcomes in quality of life, functional performance, pain, sleep, mood and satisfaction. 2. Ascertain staff and patient perceptions of the two regimes. 3. Determine the cost of precautions. Methods Before and after study: phase one patients will receive hip precautions, while phase two patients will receive no routine precautions. We propose to collect data from 342 participants at baseline, and at one week, six weeks, and three months postoperatively. Interviews will be conducted with 20 staff and 20 patients, and data collected relating to costs. Results Statistical analysis will be conducted to compare the two groups to determine any differences in patient outcomes. Thematic analysis will be used to identify and report themes within the interview data. Conclusion If there are no additional advantages to hip precautions, patients could resume everyday activities more quickly, potentially improving their quality of life. Conversely, if withdrawing hip precautions is detrimental, evidence for precautions will be provided.
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spelling nottingham-508062020-05-08T12:00:21Z https://eprints.nottingham.ac.uk/50806/ Hip precautions after hip operation (HippityHop): protocol for a before and after study evaluating hip precautions following total hip replacement Lightfoot, C.J. Sehat, K.R. Drury, G. Brewin, C. Coole, C. Drummond, Avril E.R. Introduction Hip precautions are routinely used despite inconclusive evidence that they reduce dislocations, and concern that they impede activities of daily living. HippityHop compares a change in practice locally from implementing routine hip precautions to no routine precautions, in order to: 1. Compare patient outcomes in quality of life, functional performance, pain, sleep, mood and satisfaction. 2. Ascertain staff and patient perceptions of the two regimes. 3. Determine the cost of precautions. Methods Before and after study: phase one patients will receive hip precautions, while phase two patients will receive no routine precautions. We propose to collect data from 342 participants at baseline, and at one week, six weeks, and three months postoperatively. Interviews will be conducted with 20 staff and 20 patients, and data collected relating to costs. Results Statistical analysis will be conducted to compare the two groups to determine any differences in patient outcomes. Thematic analysis will be used to identify and report themes within the interview data. Conclusion If there are no additional advantages to hip precautions, patients could resume everyday activities more quickly, potentially improving their quality of life. Conversely, if withdrawing hip precautions is detrimental, evidence for precautions will be provided. SAGE 2018-03-08 Article PeerReviewed application/pdf en https://eprints.nottingham.ac.uk/50806/1/PROTOCOL%20Hip%20Precautions%20After%20Hip%20Operation%20%28HippityHop%29%20Final%20v3%20-%20BJOT%20Article%20%28university%20repository%29.pdf Lightfoot, C.J., Sehat, K.R., Drury, G., Brewin, C., Coole, C. and Drummond, Avril E.R. (2018) Hip precautions after hip operation (HippityHop): protocol for a before and after study evaluating hip precautions following total hip replacement. British Journal of Occupational Therapy . ISSN 1477-6006 total hip replacement hip precautions quality of life http://journals.sagepub.com/doi/10.1177/0308022618757183 doi:10.1177/0308022618757183 doi:10.1177/0308022618757183
spellingShingle total hip replacement
hip precautions
quality of life
Lightfoot, C.J.
Sehat, K.R.
Drury, G.
Brewin, C.
Coole, C.
Drummond, Avril E.R.
Hip precautions after hip operation (HippityHop): protocol for a before and after study evaluating hip precautions following total hip replacement
title Hip precautions after hip operation (HippityHop): protocol for a before and after study evaluating hip precautions following total hip replacement
title_full Hip precautions after hip operation (HippityHop): protocol for a before and after study evaluating hip precautions following total hip replacement
title_fullStr Hip precautions after hip operation (HippityHop): protocol for a before and after study evaluating hip precautions following total hip replacement
title_full_unstemmed Hip precautions after hip operation (HippityHop): protocol for a before and after study evaluating hip precautions following total hip replacement
title_short Hip precautions after hip operation (HippityHop): protocol for a before and after study evaluating hip precautions following total hip replacement
title_sort hip precautions after hip operation (hippityhop): protocol for a before and after study evaluating hip precautions following total hip replacement
topic total hip replacement
hip precautions
quality of life
url https://eprints.nottingham.ac.uk/50806/
https://eprints.nottingham.ac.uk/50806/
https://eprints.nottingham.ac.uk/50806/