CAREFUL
@CAREFUL_STUDY
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Continuous ARterial monitoring in Elderly and Frail patients for hip fractUre surgery to prevent Low blood pressure – The CAREFUL Study @adk300 @ACeS_SouthTees
South Tees Hospitals NHS FT
Joined March 2025
The runner up prize winners receiving their prizes from Professor @LawtonRebecca at the #SafetyNetSymposium2025
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The @CAREFUL_STUDY is up and running at @SouthTees 🥳 Thank you to the Set-Up and Delivery Research Teams for supporting CAREFUL! Good Luck with the rest of the study 😀🍀
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Exciting news- we are able to start recruiting at @SouthTees and plan to start @CDDNHSFT very soon! But what is CAREFUL all about…?
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We will assess how practical the study is, record blood pressure measurements during surgery, complication rates and ask patients about their quality-of-life.
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We will recruit 100 patients over 65 years old living with frailty and needing surgery for a broken hip into a small, feasibility study. Half of patients will be allocated to continuous, and the other half will be allocated to intermittent blood pressure monitoring…
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Using a national survey and focus groups, we will ask clinicians about their current practice to understand what may help or hinder them from changing to continuous blood pressure monitoring in these high-risk patients.
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We will perform a detailed review of the current research in this area and publish a summary of our findings.
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What we are doing?? Through three packages of work, we will aim to address the knowledge gap and help decide if a larger trial is required and practical.
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However, there is currently limited research supporting this approach, meaning clinicians do not routinely do it.
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Patients who have broken their hip are at particularly high risk of harm with surgery, as many are older and frail. In the UK, only around 1 in 10 of these patients receive continuous blood pressure monitoring.
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We may be able to reduce the amount of low blood pressure a patient experiences by measuring their blood pressure continuously during surgery with a drip inserted in the wrist, rather than individual (intermittent) measurements with a blood pressure cuff (e.g. every 5 minutes).
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Two-thirds of patients experience low blood pressure during surgery, and this can cause harm (e.g. to the patient’s heart, kidneys or brain), particularly in older people who may also be frail (e.g. need aid with daily life).
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Exciting news- we are able to start recruiting at @SouthTees and plan to start @CDDNHSFT very soon! But what is CAREFUL all about…?
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Our newsletter for patients and carers who help shape the MEASURE study is out now....
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Patients undergoing hip fracture surgery could be discharged home sooner & healthier thanks to a new research trial at @SouthTees! The trial, funded by @NIHRresearch, will focus on low blood pressure in patients undergoing hip fracture surgery. https://t.co/uYFU08glve
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Blood pressure study for hip op patients
bbc.com
A hundred people are being recruited for the trial to determine most effective monitoring methods.
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@CAREFUL_STUDY featured in @BBCNews article. @adk300 @GerryDanjoux @ACeS_SouthTees @YorkTrialsUnit @joyadamson_ytu @SouthTees Blood pressure study for hip op patients
bbc.com
A hundred people are being recruited for the trial to determine most effective monitoring methods.
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Congrats to @RBandH Harefield Hospital for getting the green light to begin recruitment - welcome to the AFFECT trial!
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📣We’d love to hear from patients (and family or carers of patients) who have previously been diagnosed, followed-up or treated for #scoliosis while under the age of 18 Please follow the link: https://t.co/OZfmCrCtce Or scan the QR code 📲
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