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| ID | Type | Description | Link |
|---|---|---|---|
| 296587 | Other Grant/Funding Number | The Research Council of Norway |
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| Name | Class |
|---|---|
| University of Oslo | OTHER |
| Oslo University Hospital | OTHER |
| Oslo Municipality | OTHER_GOV |
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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.
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
TIMELINE
The investigators have defined the following dates as the start of intervention:
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| FALLERS IN THE INTERVENTION BOROUGHS | Fallers 65+ years from the borough of Nordstrand from January 1. 2015 Fallers 65+ years from the borough of Østensjø from September 1. 2016 Fall injury will be included as a time-varying exposure variable. The individuals are all registered as non-fallers until they are registered with a fall injury in the NPR database, when they shift status to fallers. |
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| FALLERS IN THE CONTROL BOROUGHS | Fallers 65+ years from all the 13 other boroughs of Oslo. Fall injury will be included as a time-varying exposure variable. The individuals are all registered as non-fallers until they are registered with a fall injury in the NPR database, when they shift status to fallers. | ||
| NON-FALLERS | All non-fallers 65+ years from all Oslo boroughs. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Implement coordination of care with multifactorial falls- and fracture risk assessment and tailored intervention | Other |
|
| Measure | Description | Time Frame |
|---|---|---|
| Hip fracture | A new hip fracture registered in the Norwegian Patient registry | 2012-2019 |
| Admission to nursing home | Long-term admission to nursing home | 2012-2019 |
| Death | Total mortality | 2012-2019 |
| Measure | Description | Time Frame |
|---|---|---|
| Subsequent fall injuries | Subsequent falls that result in injuries registered in the Norwegian Patient Registry | 2012-1019 |
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Inclusion Criteria:
Exclusion Criteria:
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Total population in Oslo 65 years or older in the period 2012 - 2019.
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| Name | Affiliation | Role |
|---|---|---|
| Gro Idland, PhD | Municipality of Oslo, Department of Health | Study Director |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Jan 2, 2023 | Jan 2, 2023 | Prot_SAP_000.pdf |
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| ID | Term |
|---|---|
| D006620 | Hip Fractures |
| ID | Term |
|---|---|
| D005264 | Femoral Fractures |
| D050723 | Fractures, Bone |
| D014947 | Wounds and Injuries |
| D025981 | Hip Injuries |
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| ID | Term |
|---|---|
| D020380 | Needs Assessment |
| D010348 | Patient Care Team |
| D057189 | Checklist |
| D006792 | House Calls |
| D000069340 | Deprescriptions |
| ID | Term |
|---|---|
| D006302 | Health Services Research |
| D006285 | Health Planning |
| D004472 | Health Care Economics and Organizations |
| D003695 | Delivery of Health Care |
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| D007869 |
| Leg Injuries |
| D017530 | Health Care Quality, Access, and Evaluation |
| D010346 | Patient Care Management |
| D006298 | Health Services Administration |
| D003625 | Data Collection |
| D017531 | Health Care Evaluation Mechanisms |
| D011787 | Quality of Health Care |
| D011364 | Professional Practice |
| D009934 | Organization and Administration |
| D004358 | Drug Therapy |
| D013812 | Therapeutics |