A Geriatric Home Visit Program to Reduce Post-Hip Fracture Complications

Not Applicable

Terminated

• Conditions: Fracture; Infection; Gait Instability; Depression; Debility
• Interventions: Other: Home Visit

• Registration Number: NCT02058329
• Lead Sponsor: Northwell Health

Brief Summary

The overall goal of the project is to reduce the incidence of post hip fracture morbidity and mortality by conducting geriatric fellow periodic home visits.The assessment will be multidisciplinary and will include assessments of functional status, depression, environmental risks and medical conditions. This group will be compared against a group followed by the usual standard of care post hip fracture.

Detailed Description

All patients post hip fracture on the hospital's rehabilitation service that will be discharged to home will be enrolled after obtaining consent. Patients will be randomized into the intervention group and the usual standard of care group.We will be recruiting a total of 100 patients , with equal numbers for each group.All patients will undergo an initial assessment by a Geriatric fellow prior to discharge . The intervention group will be seen at the time of discharge in the hospital and at home at 1, 3, and 6 months post hip fracture. The control group will be seen at the time of discharge in the hospital and then again at 6 months for follow up. The two groups will then be compared for multiple known complications post hip fractures well as mortality.

Study Timeline

• Study Start: 2008-11
• Primary Completion: 2011-02
• Study Completion: 2011-02
• Study First Submitted: 2012-10-25
• Status Verified: 2014-02
• Study First Submitted QC: 2014-02-06
• Last Update Submitted: 2014-02-06
• Study First Posted: 2014-02-10
• Last Update Posted: 2014-02-10

Recruitment & Eligibility

• Status: TERMINATED
• Sex: All
• Target Recruitment: 18

Inclusion Criteria

• All post hip fracture patients on the hospital's rehabilitation service being discharged to home .

Exclusion Criteria

• Patients discharged to nursing homes or rehabilitation facilities.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Home Visit	Home Visit	After the post hip-fracture patient is discharged to home, there will be home visits by a geriatric fellow assess overall function and response to treatment/s by depression screen, FIM scores, and environmental risk assessment

Primary Outcome Measures

Name	Time	Method
Decreased rate of depression, falls, medication errors and post-op-complications	6 months and 1 year	geriatric depression screen, FIM score, medication reconciliation

Secondary Outcome Measures

Name	Time	Method
environmental hazards will be identified	6 months and 1 year	safety inspection of home

Trial Locations

Locations (1)

Staten Island University Hospital; 🇺🇸 Staten Island, New York, United States