A randomised controlled trial evaluating the impact of the Supported Transfer & Accelerated Rehabilitation Team (START) for Accident Compensation Corporation (ACC) clients and how this compares to the usual ACC pathway of care for people over 65 years of age who have sustained an injury. The trial outcomes will focus on on hospital length of stay, subsequent hospitalisations, and cost for patients being discharged from hospital in the Waikato region who have recently sustained an injury.

Not Applicable

Recruiting

• Conditions: Injury based health conditions such as fractured Neck of Femurs; Injuries and Accidents - Fractures; Physical Medicine / Rehabilitation - Other physical medicine / rehabilitation

• Registration Number: ACTRN12614000761662
• Lead Sponsor: The University of Auckland

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2014-07-17
• Last Update Posted: 13 January 2020

Recruitment & Eligibility

• Status: Recruiting
• Sex: All
• Target Recruitment: 472

Inclusion Criteria

The eligibility criterion for inclusion into this study are as follows: (1) The client has been accepted OR is pending decision by ACC for the provision of services following an accident; (2) The client is over 65 years (or close in age and interest) and lives within the START catchment area; (3) The client does not require acute hospital based treatment; (4) The client consents to being treated at home by the team, is aware of and is in agreement with the objectives set by the referring inter-disciplinary team; (5) Following assessment, the client is considered to have potential for partial or complete recovery with suitable home rehabilitation within six weeks; (6) The client is able to stand and transfer with one person (with or without the help of a resident carer); (8) The client's home is judged to be safe for the client in addition to the visiting staff and; (9) The client has had a recent injury and is at a borderline level of function with an associated reduction in personal (PADL) and / or extended (EADL) activities of daily living and who without input from the team is: (i) likely to fail to recuperate full potential of functional recovery; and (ii) or is likely to fail to manage satisfactorily at home despite conventional community support and therefore would be at risk of hospital re-admission or institutionalisation; AND the client consents to participate in the trial.
The client eligibility for ACC START is the same whether the client is being referred for the rapid response or supported discharge. The point of difference is in the location of the client at the point of referral and therefore the process following referral, namely ED versus ward. Specifically, the rapid response component prevents admission through providing an immediate responsive and coordinated service delivered to clients in their own home where as the supported discharge reduces length of hospital stay.

Exclusion Criteria

1. The person place of discharge is not directly to their own home.
2. The person is younger than 65 years.
3. The person is declined by ACC
4. The person does not fit the inclusion criteria stated above

Study & Design

• Study Type: Interventional
• Study Design: Not specified