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Many patients were lost to follow-up
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| Name | Class |
|---|---|
| Staten Island University Hospital | OTHER |
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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| No intervention | No Intervention | Standard of care with no home visit | |
| Home Visit | Experimental | 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 |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Home Visit | Other | 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. |
| 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 |
| Measure | Description | Time Frame |
|---|---|---|
| environmental hazards will be identified | safety inspection of home | 6 months and 1 year |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Mark Jarrett, M.D. | Staten Island University Hospital | Principal Investigator |
| Marianne Smith, M.D. | Staten Island University Hospital | Study Director |
| Garbis Dabagian, M.D. | Staten Island University Hospital | Principal Investigator |
| Donna Seminara, M.D. | Staten Island University Hospital | Principal Investigator |
| Jeffery Weinberg, M.D. | Staten Island University Hospital | Principal Investigator |
| Mario Castellanos, M.D. | Staten Island University Hospital | Principal Investigator |
| Anita Szerszen, M.D. | Staten Island University Hospitial | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Staten Island University Hospital | Staten Island | New York | 10305 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 15999957 | Background | 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. |
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| ID | Term |
|---|---|
| D050723 | Fractures, Bone |
| D007239 | Infections |
| D003863 | Depression |
| D020233 | Gait Disorders, Neurologic |
| D000073496 | Frailty |
| D006620 | Hip Fractures |
| D011183 | Postoperative Complications |
| ID | Term |
|---|---|
| D014947 | Wounds and Injuries |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
| D009461 | Neurologic Manifestations |
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| ID | Term |
|---|---|
| D006792 | House Calls |
| ID | Term |
|---|---|
| D011364 | Professional Practice |
| D009934 | Organization and Administration |
| D006298 | Health Services Administration |
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|
| D009422 |
| Nervous System Diseases |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010335 | Pathologic Processes |
| D005264 | Femoral Fractures |
| D025981 | Hip Injuries |
| D007869 | Leg Injuries |