Pneumonia Clinical Trial
— RHPOfficial title:
The RAD-HOME Project: a Randomized Pilot Study of a Domiciliary Teleradiology Program for Frail Elderly Patients
Verified date | May 2008 |
Source | Azienda Ospedaliera San Giovanni Battista |
Contact | n/a |
Is FDA regulated | No |
Health authority | Italy: Ministry of Health |
Study type | Interventional |
Aim of the study is to assess feasibility and safety of a public territorial radiology service for home hospitalized frail elderly patients whose health conditions discourage the transportation to hospital.
Status | Completed |
Enrollment | 69 |
Est. completion date | June 2009 |
Est. primary completion date | June 2009 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 65 Years and older |
Eligibility |
Inclusion Criteria: - immobilization or chairbound, - need for chest, pelvis/hips, joints, upper and lower limbs, hands and feet X-rays, - absence of definite delirium at enrollment according to the Confusion Assessment Method, and - intermediate or high risk of delirium according to the criteria of Inouye. Exclusion Criteria: - need of urgent examination (within 24 hours), - need of X-ray examinations not suitable at home. |
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Health Services Research
Country | Name | City | State |
---|---|---|---|
Italy | San Giovanni Battista Hospital | Torino |
Lead Sponsor | Collaborator |
---|---|
Azienda Ospedaliera San Giovanni Battista | FondazioneCRT |
Italy,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Comparison of episodes of delirium related to the radiological procedure at home and in hospital, using the Confusion Assessment Method (CAM) | Frail patients, especially old ones,often develop delirium or confusion when moved from their usual environment. In home-hospitalized patients with the same risk of developing delirium, according to the Inouye's criteria, we evaluated the onset of a confusional status after X-rays performed at home or in hospital | 24 hours after the radiological procedure | No |
Secondary | Evaluation of direct and indirect costs of the radiological procedures performed at home or in hospital | Evaluation of costs includes: costs for transportation, ambulance, equipment (eg, processing costs), materials (eg, CD), technical staff (eg, radiographers, radiologists); for the control group: costs for working time employed by family members and health staff to bring patients to hospital for X.ray examination | 1 year | No |
Secondary | Satisfaction of patients and/or families | Customer satisfaction is evaluated using an ad hoc questionnaire | within 1 month after the procedure | No |
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