Three Care Models for Elderly Patients With Hip Fracture

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

299 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-01-31

Study Completion Date

2010-07-31

Brief Summary

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Hip fracture in the elderly is associated with excess mortality of 5 to 20%, and mobility problems that usually results in costly hospital stays and lengthy rehabilitation procedures. The purpose of this study is to compare the costs and effectiveness of three care models- acute/sub-acute, comprehensive, and routine care models for hip fractured elders in Taiwan.

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Detailed Description

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Hip fracture in the elderly is associated with excess mortality of 5 to 20%, and mobility problems that usually results in costly hospital stays and lengthy rehabilitation procedures. With this increase in the aging population, hip fracture represents a major and a fast growing health care problem in Taiwan. Currently, the incidence rate of hip fractures is 10 times of the incidence rate for the general population. Despite the use of advanced treatment, the one-year mortality rate (15.4%) remains significant, and many of the patients never recover completely in terms of activities of daily living functions. Many studies in the United States have proved that elderly patients with hip fracture can benefit from post-operative rehabilitation, early discharge planning programs, or transitional care programs. However, little is known about what intervention should be attempted for these patients and their families in Taiwan.

The purpose of this study is to compare the costs and effectiveness of three care models- acute/sub-acute, comprehensive, and routine care models for hip fractured elders in Taiwan.

Conditions

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Hip Fracture

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

SINGLE

Participants

Study Groups

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Control group

Patients receive only usual hospital care

Group Type NO_INTERVENTION

No interventions assigned to this group

Subacute care group

Patients receive hospital usual care and subacute care. Subacute care consisted of geriatric consultation, a rehabilitation program, and early discharge planning.

Group Type OTHER

Subacute care

Intervention Type OTHER

Subacute care included geriatric consultation, continuous rehabilitation, and discharge planning.

Comprehensive care group

Patients receive not only the subacute care (geriatric consultation, rehabilitation program, and discharge planning), but also health-maintenance interventions to prevent falls, consult on nutrition, and manage depression.

Group Type EXPERIMENTAL

Comprehensive care

Intervention Type OTHER

Comprehensive care consisted of subacute care plus health-maintenance interventions to manage depressive symptoms, manage malnutrition, and prevent falls.

Interventions

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Comprehensive care

Comprehensive care consisted of subacute care plus health-maintenance interventions to manage depressive symptoms, manage malnutrition, and prevent falls.

Intervention Type OTHER

Subacute care

Subacute care included geriatric consultation, continuous rehabilitation, and discharge planning.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Age 60 years or older
* Admitted to hospital for an accidental single-side hip fracture
* Receiving hip arthroplasty or internal fixation
* Able to perform full range of motion against gravity and against some or full resistance, and have a pre-fracture Chinese Barthel Index (CBI) score \>70
* Living in northern Taiwan

Exclusion Criteria

* Severely cognitively impaired and completely unable to follow orders (determined by a Chinese Mini-Mental State Examination \[MMSE\] score \<10), or
* Terminally ill

Minimum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No