A Geriatric Home Visit Program to Reduce Post Hip Fracture Morbidity and Mortality
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 入组人数
- 18
- 试验地点
- 1
- 主要终点
- Decreased rate of depression, falls, medication errors and post-op-complications
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Investigator)
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
- •All post hip fracture patients on the hospital's rehabilitation service being discharged to home .
排除标准
- •Patients discharged to nursing homes or rehabilitation facilities.
研究组 & 干预措施
No intervention
Standard of care with no 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
干预措施: Home Visit (Other)
结局指标
主要结局
Decreased rate of depression, falls, medication errors and post-op-complications
时间窗: 6 months and 1 year
geriatric depression screen, FIM score, medication reconciliation
次要结局
- environmental hazards will be identified(6 months and 1 year)