[Rehabilitación Domiciliaria Tras Fractura de Cadera] Home Rehabilitation After Hip Fracture
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 80
- 试验地点
- 1
- 主要终点
- Walking ability and home transfers
研究概览
简要总结
This study will examine whether a home-based rehabilitation program can help older adults recover after surgery for a hip fracture. The program is delivered by a specialized "Hospital-at-Home" unit, which provides hospital-level care in the patient's home.
Participants in this study are adults aged 65 years and older who have undergone hip fracture surgery at Hospital Universitari i Politècnic La Fe in Valencia, Spain. Instead of remaining in the hospital after surgery, participants will be admitted to the Hospital-at-Home program. A multidisciplinary medical team will provide comprehensive care at home, including medication management, wound care, and in-home physical therapy.
The primary goal of the study is to assess recovery of walking ability and mobility within the home. The study will also evaluate overall functional improvement, frailty, and survival. Participants will be assessed at the start of the program and again at 45 days and 180 days after surgery.
The information collected will help determine whether this type of home-based care is an effective option for supporting recovery and independence in older adults after a hip fracture.
Recruitment for the study began in February 2024 and is expected to continue for one year.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •- Patients aged 65 years or older undergoing surgery for traumatic hip fracture.
- •Ability to actively collaborate in the physiotherapy program.
- •Compliance with the UHD admission criteria (contact telephone number, identified caregiver, and residence within the geographical area of the Hospital Universitari i Politècnic La Fe).
排除标准
- •- Patients residing outside the geographical area covered by the La Fe hospital UHD.
- •Refusal to participate in the follow-up.
- •Clinical instability or end-of-life situation (oncologic or non-oncologic).
- •Cognitive impairment that prevents collaboration.
- •Institutionalized patients.
研究组 & 干预措施
Home rehabilitation of hip fracture
The cohort included patients with hip fracture who were referred from the hospital to home-based rehabilitation at discharge, managed by a multidisciplinary team that included physiotherapists.
结局指标
主要结局
Walking ability and home transfers
时间窗: assessed at different time points (prior, admission to the UHD, and at 45 and 180 days).
Walking ability and home transfers, taken from the Barthel Index
次要结局
- Functional improvement(prior, admission to the UHD, and at 45 and 180 days)
- Mortality(180 days)
- Frailty was assessed with the Rockwood Index at the time of admission, at baseline(Baseline)
- Number of participants with all-cause readmission, delirium, wound infection, or bleeding(15 days)
- Change in quality of life assessed by the EuroQoL-5D questionnaire(One year)
研究者
Vicente Ruiz García
Principal Investigator
Instituto de Investigacion Sanitaria La Fe