The RAD-HOME Project: a Pilot Study of Domiciliary Teleradiology

Not Applicable

Completed

• Conditions: Acute Congestive Heart Failure; Exacerbation of COPD; Pneumonia; Fractures; Osteomyelitis
• Interventions: Radiation: Home X-rays; Radiation: X-rays in hospital

• Registration Number: NCT01098916
• Lead Sponsor: Azienda Ospedaliera San Giovanni Battista

Brief Summary

Aim of the study is to assess feasibility and safety of a public territorial radiology service for home hospitalized frail elderly patients whose health conditions discourage the transportation to hospital.

Detailed Description

Not available

Study Timeline

• Status Verified: 2008-05
• Study Start: 2008-06
• Primary Completion: 2009-06
• Study Completion: 2009-06
• Study First Submitted: 2010-03-10
• Study First Submitted QC: 2010-04-02
• Last Update Submitted: 2010-04-02
• Study First Posted: 2010-04-05
• Last Update Posted: 2010-04-05

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 69

Inclusion Criteria

• immobilization or chairbound,
• need for chest, pelvis/hips, joints, upper and lower limbs, hands and feet X-rays,
• absence of definite delirium at enrollment according to the Confusion Assessment Method, and
• intermediate or high risk of delirium according to the criteria of Inouye.

Exclusion Criteria

• need of urgent examination (within 24 hours),
• need of X-ray examinations not suitable at home.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
X-rays at home	Home X-rays	Home hospitalized elderly patients undergo X-rays at home
Hospital X-rays	X-rays in hospital	Home hospitalized elderly patients undergo X-rays examinations in hospital

Primary Outcome Measures

Name	Time	Method
Comparison of episodes of delirium related to the radiological procedure at home and in hospital, using the Confusion Assessment Method (CAM)	24 hours after the radiological procedure	Frail patients, especially old ones,often develop delirium or confusion when moved from their usual environment. In home-hospitalized patients with the same risk of developing delirium, according to the Inouye's criteria, we evaluated the onset of a confusional status after X-rays performed at home or in hospital

Secondary Outcome Measures

Name	Time	Method
Evaluation of direct and indirect costs of the radiological procedures performed at home or in hospital	1 year	Evaluation of costs includes: costs for transportation, ambulance, equipment (eg, processing costs), materials (eg, CD), technical staff (eg, radiographers, radiologists); for the control group: costs for working time employed by family members and health staff to bring patients to hospital for X.ray examination
Satisfaction of patients and/or families	within 1 month after the procedure	Customer satisfaction is evaluated using an ad hoc questionnaire

Trial Locations

Locations (1)

San Giovanni Battista Hospital; 🇮🇹 Torino, Italy