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

Study Overview
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Brief Summary
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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.

Detailed Description
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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.

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

Conditions
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Fracture, Infection, Depression, Gait Instability, Debility

Intervention / Treatment
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* Other: Home Visit


Participation Criteria
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Eligibility Criteria
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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.

Ages Eligible for Study
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Minimum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: No intervention<br>Standard of care with no home visit | |
| Experimental: Home Visit<br>After the post hip-fracture patient is discharged to home, there will be home visits by a geriatric fellow assess overall function and response to treatment/s by depression screen, FIM scores, and environmental risk assessment | Other: Home Visit<br>* 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.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Decreased rate of depression, falls, medication errors and post-op-complications | geriatric depression screen, FIM score, medication reconciliation | 6 months and 1 year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| environmental hazards will be identified | safety inspection of home | 6 months and 1 year | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Falls, Hip fracture, postoperative complications, Depression, Environmental Hazards, FIM scores