Clinical trial NCT05680714: Does the New Fall- and Fracture Prevention Initiative in Oslo Have Effect?
Official title: Does the Improved Coordination of Care for Fall- and Fracture Prevention in Oslo Have Effect on the Rate of Hip Fractures, Need of Nursing Homes or Death?
Study type: OBSERVATIONAL
Overall status: UNKNOWN
Conditions: Fall Injury
Hip Fractures
Lead sponsor: Norwegian Institute of Public Health
Sponsor class: OTHER_GOV
Collaborators: name: University of Oslo
name: Oslo University Hospital
name: Oslo Municipality
First posted: 2023-01-11
Enrollment: 121000
Sex: ALL
Minimum age (years): 65
Standard ages: OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: OTHER
Time perspective: PROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: Total population in Oslo 65 years or older in the period 2012 - 2019.

Brief summary: The goal of this controlled before and after study is to evaluate a new patient pathway for patients 65 years and older who have suffered a fall injury.

The main questions the study aims to answer are whether this preventive initiative with improved care coordination reduces risk of subsequent hip fractures, admittance to nursing homes or death.

Researchers will compare two boroughs in Oslo who implemented the new patient pathway with the 13 other boroughs who did not reorganize their follow-up, but continued their care as usual.

Detailed description: The study is an evaluation of a new patient follow-up for fall prevention in Oslo with improvement of coordination of care for elderly at risk of fall injuries.

The intervention were introduced to the boroughs of Nordstrand and Østensjø, which are compared to the other 13 boroughs of Oslo in this controlled before and after study.

THE COHORT

All persons 65 years and older in Oslo are included in Oslo Fall Cohort and we follow all cohort participants prospectively.

OUTCOME VARIABLES

* Hip fracture
* Long term admittance to nursing home
* Death

TIMELINE

The investigators have defined the following dates as the start of intervention:

1. Start of intervention in Nordstrand borough is set to January 1, 2015.
2. Start of intervention Østensjø borough is set to September 1, 2016.

In the main analysis, fallers from the two intervention boroughs, Nordstrand and Østensjø, will be compared with fallers from the control boroughs during the intervention. Any differences between the intervention and control boroughs before the intervention started will be taken into account.

Data on all participants are available from 2010, and the participants will be followed from January 2012 until December 2019.

For each analysis, persons with a hip fracture or living in a nursing home at baseline will be excluded.

The analysis in the evaluation is based on registry data and no analysis relating the intervention to the outcomes has been done before registration in clinicaltrials.gov.

Eligibility criteria: Inclusion Criteria:

* 65 years or older
* Living on Oslo, Norway in the period January 1. 2012 - December 31. 2019

Exclusion Criteria:

* Hip fracture before baseline
* Living in nursing home at baseline

Primary outcomes:
measure: Hip fracture
timeFrame: 2012-2019
measure: Admission to nursing home
timeFrame: 2012-2019
measure: Death
timeFrame: 2012-2019
Secondary outcomes:
measure: Subsequent fall injuries
timeFrame: 2012-1019
Other outcomes:
Locations:
Study officials:
affiliation: Municipality of Oslo, Department of Health
name: Gro Idland, PhD
role: STUDY_DIRECTOR
References: