Ignite Creation Date:
2024-05-06 @ 3:50 PM
Last Modification Date:
2024-10-26 @ 1:58 PM
Study NCT ID:
NCT04777136
Status:
UNKNOWN
Last Update Posted:
2022-05-20
First Post:
2021-02-16
Brief Title:
Home-visits From geRiatric tEam aFter hIp fracTure
Sponsor:
Herlev Hospital
Organization:
Herlev Hospital
Study Overview
Official Title:
The Effect of Home-visit Follow-up With a Multidisciplinary Geriatric Team in Old Patients With a Hip Fracture
Status:
UNKNOWN
Status Verified Date:
2022-05
Last Known Status:
ACTIVE_NOT_RECRUITING
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
REFIT
Brief Summary:
The primary objective is to examine the effect of multidisciplinary geriatric team home-visits as follow-up after a hip fracture in old patients The hypothesis is that home-visits will reduce the number of falls readmissions prevent functional decline optimize that medical treatment and a higher degree of satisfaction and quality of life
Detailed Description:
Among older individuals falling is a strong predictor of frailty morbidity and mortality and may cause a fracture Many older patients experience recurrent falls further functional decline and readmission within the first three months Hence fall-related visits to the hospital represent a red flag but are also an opportunity for targeted intervention and prevention of future falls However many older patients are only treated for fall-related injuries and discharged without fall risk assessment or evaluation hence there is a need for follow-up with targeted fall assessment and intervention to prevent further falls
Thus the present project aims to examine the effect of home-visit follow-up of older frail patients discharged from the orthopedic ward with a hip fracture Furthermore we will explore the effect of a cross-sectorial collaboration between hospital and municipality in the patients homes to prevent falls readmissions medicine-associated adverse effects and physical deconditioning in old frail patients
The present study is a interventional trial The intervention will consist of a home visit within ten weekdays of the discharge where a comprehensive geriatric assessment CGA will be performed The team performing the CGA consist of a Geriatrician and an experienced geriatric nurse CGA is an overall assessment of the patient taking account of the presence and severity of comorbidity the nutritional state cognitive and functional status review of current medications and social measures The purpose is to stabilize and optimize current as well as chronic conditions and reduce the probability of adverse events and falls and to secure interventions or changes persist through the transition from the secondary to the primary health care system The assessment may lead to several interventions including medicine review new medicine change in current or discontinuation initiation of a nutritional effort or contact to a dietitian referral to other health care services outpatient clinics hospitals or general practitioner referral to physiotherapy andor occupational therapy or optimization of home care
Patients randomized to the control group will receive standard care where the subsequent need for medical service or increased home care will require contact with the general practitioner or the municipality at the patients initiative
Thus the present project aims to examine the effect of home-visit follow-up of older frail patients discharged from the orthopedic ward with a hip fracture Furthermore we will explore the effect of a cross-sectorial collaboration between hospital and municipality in the patients homes to prevent falls readmissions medicine-associated adverse effects and physical deconditioning in old frail patients
The present study is a interventional trial The intervention will consist of a home visit within ten weekdays of the discharge where a comprehensive geriatric assessment CGA will be performed The team performing the CGA consist of a Geriatrician and an experienced geriatric nurse CGA is an overall assessment of the patient taking account of the presence and severity of comorbidity the nutritional state cognitive and functional status review of current medications and social measures The purpose is to stabilize and optimize current as well as chronic conditions and reduce the probability of adverse events and falls and to secure interventions or changes persist through the transition from the secondary to the primary health care system The assessment may lead to several interventions including medicine review new medicine change in current or discontinuation initiation of a nutritional effort or contact to a dietitian referral to other health care services outpatient clinics hospitals or general practitioner referral to physiotherapy andor occupational therapy or optimization of home care
Patients randomized to the control group will receive standard care where the subsequent need for medical service or increased home care will require contact with the general practitioner or the municipality at the patients initiative
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None