Individualized Discharge Planning in Patients With Rib Fracture

Not Applicable

Completed

• Conditions: Rib Fractures
• Interventions: Behavioral: Individualized discharge planning

• Registration Number: NCT04168996
• Lead Sponsor: Universidad de Granada

Brief Summary

Patients with rib fractures may develop pneumonia and even respiratory failure requiring critical care, ventilator management, and hospitalization. Discharge planning is a broad range of time-limited services designed to ensure healthcare continuity, avoid preventable poor outcomes among at-risk populations, and promote the safe and timely transfer of patients care.

Detailed Description

Not available

Study Timeline

• Study Start: 2017-10-10
• Primary Completion: 2019-11-11
• Study First Submitted: 2019-11-13
• Study First Submitted QC: 2019-11-15
• Study First Posted: 2019-11-19
• Study Completion: 2020-02-25
• Status Verified: 2020-07
• Last Update Submitted: 2020-07-31
• Last Update Posted: 2020-08-04

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 81

Inclusion Criteria

• The inclusion criteria were to be patients hospitalized due to fractures ribs due to falls, traffic accidents, and aggression.

Exclusion Criteria

• Exclusion criteria were an inability to provide informed consent, the presence of psychiatric or cognitive disorders, progressive neurological disorders, or inability to cooperate. Patients who had experienced hospitalization in the Intense Care Unit were also excluded.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
rib fracture patients group	Individualized discharge planning	Individualized discharge planning in rib fracture patients with different severity of lung injury

Primary Outcome Measures

Name	Time	Method
Lung Injury Score (LIS).	Change during the hospitalization, after a week, and after 6 months follow up	This score was assessed the progression of the lung injury and the development of acute respiratory distress syndrome. The final value was obtained by dividing the sum of the variables used: no injury (LIS=0), mild to moderate (LIS≥0.1), severe (LIS\>2.5). We were allocated with a cutoff in the score of LIS.
Barthel Index	Change during the hospitalization, after a week, and after 6 months follow up	The Barthel Index assesses the level of dependence required by patient to perform the activities. The item scores are totaled which may vary from 0 (total dependence) to 100 (fully independent).
EuroQol-5D (EQ-5D)	Change during the hospitalization, after a week, and after 6 months follow up	This measure contains two sections, a descriptive questionnaire about health impairment and a numerical scale about health status perception. The descriptive section includes five dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each dimension is categorized into three levels of functioning for each of the five dimensions. The numerical scale ranges from 0 (defined as the worst imaginable health state) to 100 (defined as the best imaginable health state

Secondary Outcome Measures

Name	Time	Method
Blaylock Risk Assessment Screening Score (BRASS)	Change during the hospitalization, after a week, and after 6 months follow up	It comprises a 10-item scale with a score between 0 and 40, with a higher score correlating with a greater likelihood of discharge complications and length of stay.; A score of 0-10 identifies patients at low risk for complications, 11-20 identifies those requiring discharge planning, and scores above 20 indicate patients who require extensive discharge planning.
Early Screen for Discharge Planning (ESDP)	Change during the hospitalization, after a week, and after 6 months follow up	The question screening tool was composed for several items (age, living status, disability, and self-reported walking limitation). The score was between 0 and 23. A positive score (≥ 10) was found to indicate the need for automatic referral for complex discharge planning
Newcastle Satisfaction with Nursing Scales (NSNS)	Change during the hospitalization, after a week, and after 6 months follow up	This measure contains two scales, the experiences of nursing care scale (cognitive evaluation), and the satisfaction with nursing care scale (emotional evaluation). Item scores for each of the scales are summed so that the two scale with scores range from 0 (the best care and full satisfaction) to 100 (the worse care and no satisfaction).

Trial Locations

Locations (1)

Faculty of Health Sciences. University of Granada.; 🇪🇸 Granada, Andalucia, Spain