The goal of this clinical trial is to investigate whether pre- and postoperative treatment with systematic PEP therapy can prevent hospital-acquired pneumonia in patients with hip frac-ture. It will also learn about the barriers regarding PEP therapy in this group of patients.
* Does pre- and postoperative treatment with systematic PEP therapy prevent hospital-acquired pneumonia in patients with hip fracture? * Which barriers do participants have regarding PEP therapy in this group of patients? Researchers will compare systematic PEP therapy to no intervention besides standard treat-ment to see if systematic therapy with PEP can prevent hospital-acquired pneumonia.
Participants will:
* Receive systematic PEP therapy during hospitalization or no intervention besides standard treatment * Register the PEP therapy four times daily on a paper checklist. Failure to perform the treatment and the reason must also be documented on the checklist.
Hip fracture regardless of age
Cognitively well-functioning
Able to understand the study and give informed consent
Able to speak and understand Danish
Cognitively impaired
Unable to understand the study and give informed consent
Pneumonia upon admission
Delirium upon admission
Parallel
positive expiratory pressure
DevicePEP therapy
The incidence of hospital-acquired pneumonia
Primary Outcome is the incidence of hospital-acquired pneumonia in the control and intervention group. Documented in the Sundhedsplatformen and diagnosed with one ore more of the following: * Thoracic x-ray * Sputum culture * Auscultation * Infection markers
Number of participants dead within 30-days after discharge
Number of participants dead within 30 days after discharge
Number of participants readmitted within 30-days after discharge
Number of participants readmitted within 30 days after discharge
Incidence of delirium during hospitalization (journal entry, CAM-screening, diagnosis), up to 4 weeks.
Incidence of delirium during hospitalization (journal entry, CAM-screening, diagnosis), up to 4 weeks.
Degree of regained basic mobility (Cumulated Ambulation Score - CAS) on the the day of discharge compared to the assement made at admission.
Degree of regained basic mobility (Cumulated Ambulation Score - CAS) on the the day of discharge compared to the assement made at admission. CAS values ranges from 0 to 6. A score of 6 represents an independant patient in regards to getting in and out of bed, sit-to-stand from a chair, and walking. A score of 0 represents a patient completely dependant on help getting in and out of bed, sit-to-stand from a chair, and walking.
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