Individualized Discharge Planning in Patients With Rib Fracture

Rib Fractures Clinical Trial

Official title:

Effectiveness of an Individualized Discharge Planning on, Functionality and Quality of Life in Different Severity Rib Fracture Patients

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04168996
• Other study ID #: DF0086UG
• Status: Completed
• Phase: N/A
• Start date: October 10, 2017
• Est. completion date: February 25, 2020

Study information

• Verified date: July 2020
• Source: Universidad de Granada
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Patients with rib fractures may develop pneumonia and even respiratory failure requiring critical care, ventilator management, and hospitalization. Discharge planning is a broad range of time-limited services designed to ensure healthcare continuity, avoid preventable poor outcomes among at-risk populations, and promote the safe and timely transfer of patients care.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 81
• Est. completion date: February 25, 2020
• Est. primary completion date: November 11, 2019
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 100 Years

Eligibility

Inclusion Criteria:

• The inclusion criteria were to be patients hospitalized due to fractures ribs due to falls, traffic accidents, and aggression.

Exclusion Criteria:

• Exclusion criteria were an inability to provide informed consent, the presence of psychiatric or cognitive disorders, progressive neurological disorders, or inability to cooperate. Patients who had experienced hospitalization in the Intense Care Unit were also excluded.

Related Conditions & MeSH terms

• Fractures, Bone
• Rib Fractures

Intervention

Behavioral:
• Individualized discharge planning
Discharge planning is designed to ensure healthcare continuity, avoid preventable poor outcomes among at-risk populations, and promote the safe and timely transfer of patient care. The individualized discharge planning is characterized to take into account the preferences, interests and clinical profile of each patient.

Locations

Country	Name	City	State
Spain	Faculty of Health Sciences. University of Granada.	Granada	Andalucia

Sponsors (1)

Lead Sponsor	Collaborator
Universidad de Granada

Country where clinical trial is conducted

Spain, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Lung Injury Score (LIS).	This score was assessed the progression of the lung injury and the development of acute respiratory distress syndrome. The final value was obtained by dividing the sum of the variables used: no injury (LIS=0), mild to moderate (LIS=0.1), severe (LIS>2.5). We were allocated with a cutoff in the score of LIS.	Change during the hospitalization, after a week, and after 6 months follow up
Primary	EuroQol-5D (EQ-5D)	This measure contains two sections, a descriptive questionnaire about health impairment and a numerical scale about health status perception. The descriptive section includes five dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each dimension is categorized into three levels of functioning for each of the five dimensions. The numerical scale ranges from 0 (defined as the worst imaginable health state) to 100 (defined as the best imaginable health state	Change during the hospitalization, after a week, and after 6 months follow up
Primary	Barthel Index	The Barthel Index assesses the level of dependence required by patient to perform the activities. The item scores are totaled which may vary from 0 (total dependence) to 100 (fully independent).	Change during the hospitalization, after a week, and after 6 months follow up
Secondary	Blaylock Risk Assessment Screening Score (BRASS)	It comprises a 10-item scale with a score between 0 and 40, with a higher score correlating with a greater likelihood of discharge complications and length of stay.; A score of 0-10 identifies patients at low risk for complications, 11-20 identifies those requiring discharge planning, and scores above 20 indicate patients who require extensive discharge planning.	Change during the hospitalization, after a week, and after 6 months follow up
Secondary	Early Screen for Discharge Planning (ESDP)	The question screening tool was composed for several items (age, living status, disability, and self-reported walking limitation). The score was between 0 and 23. A positive score (= 10) was found to indicate the need for automatic referral for complex discharge planning	Change during the hospitalization, after a week, and after 6 months follow up
Secondary	Newcastle Satisfaction with Nursing Scales (NSNS)	This measure contains two scales, the experiences of nursing care scale (cognitive evaluation), and the satisfaction with nursing care scale (emotional evaluation). Item scores for each of the scales are summed so that the two scale with scores range from 0 (the best care and full satisfaction) to 100 (the worse care and no satisfaction).	Change during the hospitalization, after a week, and after 6 months follow up