Effectiveness of an Individualized Discharge Planning on, Functionality and Quality of Life in Different Severity Rib Fracture Patients
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 81
- 试验地点
- 2
- 主要终点
- Lung Injury Score (LIS).
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 100 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •The inclusion criteria were to be patients hospitalized due to fractures ribs due to falls, traffic accidents, and aggression.
排除标准
- •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.
结局指标
主要结局
Lung Injury Score (LIS).
时间窗: 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
时间窗: 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)
时间窗: 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
次要结局
- Blaylock Risk Assessment Screening Score (BRASS)(Change during the hospitalization, after a week, and after 6 months follow up)
- Early Screen for Discharge Planning (ESDP)(Change during the hospitalization, after a week, and after 6 months follow up)
- Newcastle Satisfaction with Nursing Scales (NSNS)(Change during the hospitalization, after a week, and after 6 months follow up)
研究者
Marie Carmen Valenza
Principal Investigator
Universidad de Granada