This study aims to investigate the impact of hospitalisation on physical and cognitive performance in patients aged 65 and older admitted with an orthopaedic injury. This will be achieved by asking patients to participate in a series of physical and cognitive performance questionnaires and tests. These questionnaires and tests will be performed by the patients as close to their admission as possible and then again at day 7 of hospitalisation (or discharge if earlier) and at 4-6 weeks after discharge. However, if a patient's hospital stay lasts more than 30 days, they will be asked to take part in the interim data collection timepoint. To summarize, patients will be assessed at least 3 times, 4 if your hospital stay is longer than 30 days. The first and second assessments will be in the hospital, and the third will be 4-6 weeks after discharge at you home (or where is appropriate). Additionally, patients will be asked to wear an activity watch between the first and second assessment. The study will also explore patients experiences of their hospital stay and opinions on deconditioning, including the views and opinions of hospital staff. This information will be gathered by having interviews with a sample of the patients who took part in the questionnaires and tests and by having interviews with hospital staff. The interview will be conducted by the main researcher, Thomas Cartledge, and will take place either over the phone, online or in-person, depending on your preference. The interviews will be audio and/or video recorded, however the recordings will be deleted immediately once transcription is completed. The duration of the interview will last approximately 30-60 mins.
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Muscle strength measured via a hand held dynamometer.
Timeframe: From enrolment to the last data collection point at 4-6 weeks post discharge
Muscle mass measured via Bioelectrical Impedance Analysis.
Timeframe: From enrolment to the last data collection point at 4-6 weeks post discharge.
Sarcopenia risk assessed via the SARC-F questionnaire.
Timeframe: From enrolment to the last data collection point at 4-6 weeks post discharge.
Functional mobility measured via the Short Physical Performance Battery (SPPB) questionnaire.
Timeframe: 4-6 weeks (discharge to the final data collection point).
Health-related quality of life measured by the EQ-5D questionnaire.
Timeframe: From enrolment to the last data collection point at 4-6 weeks post discharge.
Physical function measured via the Barthel Index questionnaire.
Timeframe: From enrolment to the last data collection point at 4-6 weeks post discharge.
Cognitive impairment measured via The Montreal Cognitive Assessment (MoCA) score.
Timeframe: From enrolment to the last data collection point at 4-6 weeks post discharge.
Delirium measured via the 4AT score.
Timeframe: From enrolment to the last data collection point at 4-6 weeks post discharge.