Does the New Fall- and Fracture Prevention Initiative in Oslo Have Effect?

Hip Fractures Clinical Trial

Official title:

Does the Improved Coordination of Care for Fall- and Fracture Prevention in Oslo Have Effect on the Rate of Hip Fractures, Need of Nursing Homes or Death?

Clinical Trial Details — Status: Active, not recruiting

Administrative data

• NCT number: NCT05680714
• Other study ID #: RCN296587
• Secondary ID: 296587
• Status: Active, not recruiting
• Start date: January 1, 2012
• Est. completion date: December 1, 2024

Study information

• Verified date: January 2023
• Source: Norwegian Institute of Public Health
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational [Patient Registry]

Clinical Trial Summary

The goal of this controlled before and after study is to evaluate a new patient pathway for patients 65 years and older who have suffered a fall injury.

The main questions the study aims to answer are whether this preventive initiative with improved care coordination reduces risk of subsequent hip fractures, admittance to nursing homes or death.

Researchers will compare two boroughs in Oslo who implemented the new patient pathway with the 13 other boroughs who did not reorganize their follow-up, but continued their care as usual.

Description:

The study is an evaluation of a new patient follow-up for fall prevention in Oslo with improvement of coordination of care for elderly at risk of fall injuries.

The intervention were introduced to the boroughs of Nordstrand and Østensjø, which are compared to the other 13 boroughs of Oslo in this controlled before and after study.

THE COHORT

All persons 65 years and older in Oslo are included in Oslo Fall Cohort and we follow all cohort participants prospectively.

OUTCOME VARIABLES

• Hip fracture

• Long term admittance to nursing home

• Death

TIMELINE

The investigators have defined the following dates as the start of intervention:

1. Start of intervention in Nordstrand borough is set to January 1, 2015.

2. Start of intervention Østensjø borough is set to September 1, 2016.

In the main analysis, fallers from the two intervention boroughs, Nordstrand and Østensjø, will be compared with fallers from the control boroughs during the intervention. Any differences between the intervention and control boroughs before the intervention started will be taken into account.

Data on all participants are available from 2010, and the participants will be followed from January 2012 until December 2019.

For each analysis, persons with a hip fracture or living in a nursing home at baseline will be excluded.

The analysis in the evaluation is based on registry data and no analysis relating the intervention to the outcomes has been done before registration in clinicaltrials.gov.

Recruitment information / eligibility

• Status: Active, not recruiting
• Enrollment: 121000
• Est. completion date: December 1, 2024
• Est. primary completion date: December 31, 2019
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 65 Years and older

Eligibility

Inclusion Criteria:

• 65 years or older

• Living on Oslo, Norway in the period January 1. 2012 - December 31. 2019

Exclusion Criteria:

• Hip fracture before baseline

• Living in nursing home at baseline

Related Conditions & MeSH terms

• Fall Injury
• Fractures, Bone
• Hip Fractures

Intervention

Other:
• Implement coordination of care with multifactorial falls- and fracture risk assessment and tailored intervention

Locations

Country	Name	City	State
n/a

Sponsors (4)

Lead Sponsor	Collaborator
Norwegian Institute of Public Health	Oslo Municipality, Oslo University Hospital, University of Oslo

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Hip fracture	A new hip fracture registered in the Norwegian Patient registry	2012-2019
Primary	Admission to nursing home	Long-term admission to nursing home	2012-2019
Primary	Death	Total mortality	2012-2019
Secondary	Subsequent fall injuries	Subsequent falls that result in injuries registered in the Norwegian Patient Registry	2012-1019