Clinical trial NCT02058329: A Geriatric Home Visit Program to Reduce Post-Hip Fracture Complications
Official title: A Geriatric Home Visit Program to Reduce Post Hip Fracture Morbidity and Mortality
Study type: INTERVENTIONAL
Overall status: TERMINATED
Phase: NA
Conditions: Fracture
Infection
Depression
Gait Instability
Debility
Keywords: Hip fracture
postoperative complications
Depression
Environmental Hazards
FIM scores
Falls
Lead sponsor: Northwell Health
Sponsor class: OTHER
Collaborators: name: Staten Island University Hospital
First posted: 2014-02-10
Enrollment: 18
Sex: ALL
Minimum age (years): 65
Standard ages: OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief 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.

Detailed 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.

Eligibility criteria: 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.

Primary outcomes:
measure: Decreased rate of depression, falls, medication errors and post-op-complications
timeFrame: 6 months and 1 year
Secondary outcomes:
measure: environmental hazards will be identified
timeFrame: 6 months and 1 year
Other outcomes:
Locations:
city: Staten Island
country: United States
facility: Staten Island University Hospital
state: New York
Study officials:
affiliation: Staten Island University Hospital
name: Mark Jarrett, M.D.
role: PRINCIPAL_INVESTIGATOR
affiliation: Staten Island University Hospital
name: Marianne Smith, M.D.
role: STUDY_DIRECTOR
affiliation: Staten Island University Hospital
name: Garbis Dabagian, M.D.
role: PRINCIPAL_INVESTIGATOR
affiliation: Staten Island University Hospital
name: Donna Seminara, M.D.
role: PRINCIPAL_INVESTIGATOR
affiliation: Staten Island University Hospital
name: Jeffery Weinberg, M.D.
role: PRINCIPAL_INVESTIGATOR
affiliation: Staten Island University Hospital
name: Mario Castellanos, M.D.
role: PRINCIPAL_INVESTIGATOR
affiliation: Staten Island University Hospitial
name: Anita Szerszen, M.D.
role: PRINCIPAL_INVESTIGATOR
References:
citation: 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. doi: 10.1016/s1553-7250(05)31038-5.