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

Depression Clinical Trial

Official title:

A Geriatric Home Visit Program to Reduce Post Hip Fracture Morbidity and Mortality

Clinical Trial Details — Status: Terminated

Administrative data

• NCT number: NCT02058329
• Other study ID #: 08-023
• Status: Terminated
• Phase: N/A
• First received: October 25, 2012
• Last updated: February 6, 2014
• Start date: November 2008
• Est. completion date: February 2011

Study information

• Verified date: February 2014
• Source: Northwell Health
• Contact: n/a
• Is FDA regulated: No
• Health authority: United States: Institutional Review Board
• Study type: Interventional

Clinical Trial 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.

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.

Recruitment information / eligibility

• Status: Terminated
• Enrollment: 18
• Est. completion date: February 2011
• Est. primary completion date: February 2011
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 65 Years and older

Eligibility

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

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Investigator), Primary Purpose: Prevention

Related Conditions & MeSH terms

• Debility
• Depression
• Fracture
• Fractures, Bone
• Gait Instability
• Hip Fractures
• Infection

Intervention

Other:
• Home Visit
A geriatric fellow will conduct a comprehensive in hospital post discharge assessment of hip fracture patients discharged to home in the intervention group.Follow up home visits will occur at 1,3 and 6 months post discharge.Any problems will be referred to the patient's primary care physician.

Locations

Country	Name	City	State
United States	Staten Island University Hospital	Staten Island	New York

Sponsors (2)

Lead Sponsor	Collaborator
Northwell Health	Staten Island University Hospital

Country where clinical trial is conducted

United States, 

References & Publications (1)

McGinn T, Conte JG, Jarrett MP, ElSayegh D. Decreasing mortality for patients undergoing hip fracture repair surgery. Jt Comm J Qual Patient Saf. 2005 Jun;31(6):304-7. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Decreased rate of depression, falls, medication errors and post-op-complications	geriatric depression screen, FIM score, medication reconciliation	6 months and 1 year	Yes
Secondary	environmental hazards will be identified	safety inspection of home	6 months and 1 year	Yes