The RAD-HOME Project: a Pilot Study of Domiciliary Teleradiology (RHP)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01098916
Recruitment Status : Completed
First Posted : April 5, 2010
Last Update Posted : April 5, 2010
Information provided by:
Azienda Ospedaliera San Giovanni Battista

Brief Summary:
Aim of the study is to assess feasibility and safety of a public territorial radiology service for home hospitalized frail elderly patients whose health conditions discourage the transportation to hospital.

Condition or disease Intervention/treatment Phase
Acute Congestive Heart Failure Exacerbation of COPD Pneumonia Fractures Osteomyelitis Radiation: Home X-rays Radiation: X-rays in hospital Not Applicable

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 69 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Health Services Research
Official Title: The RAD-HOME Project: a Randomized Pilot Study of a Domiciliary Teleradiology Program for Frail Elderly Patients
Study Start Date : June 2008
Actual Primary Completion Date : June 2009
Actual Study Completion Date : June 2009

Resource links provided by the National Library of Medicine

Drug Information available for: X-Rays
U.S. FDA Resources

Arm Intervention/treatment
Experimental: X-rays at home
Home hospitalized elderly patients undergo X-rays at home
Radiation: Home X-rays
X-rays examinations performed at home
Active Comparator: Hospital X-rays
Home hospitalized elderly patients undergo X-rays examinations in hospital
Radiation: X-rays in hospital

Primary Outcome Measures :
  1. Comparison of episodes of delirium related to the radiological procedure at home and in hospital, using the Confusion Assessment Method (CAM) [ Time Frame: 24 hours after the radiological procedure ]
    Frail patients, especially old ones,often develop delirium or confusion when moved from their usual environment. In home-hospitalized patients with the same risk of developing delirium, according to the Inouye's criteria, we evaluated the onset of a confusional status after X-rays performed at home or in hospital

Secondary Outcome Measures :
  1. Evaluation of direct and indirect costs of the radiological procedures performed at home or in hospital [ Time Frame: 1 year ]
    Evaluation of costs includes: costs for transportation, ambulance, equipment (eg, processing costs), materials (eg, CD), technical staff (eg, radiographers, radiologists); for the control group: costs for working time employed by family members and health staff to bring patients to hospital for X.ray examination

  2. Satisfaction of patients and/or families [ Time Frame: within 1 month after the procedure ]
    Customer satisfaction is evaluated using an ad hoc questionnaire

Information from the National Library of Medicine

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Ages Eligible for Study:   65 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • immobilization or chairbound,
  • need for chest, pelvis/hips, joints, upper and lower limbs, hands and feet X-rays,
  • absence of definite delirium at enrollment according to the Confusion Assessment Method, and
  • intermediate or high risk of delirium according to the criteria of Inouye.

Exclusion Criteria:

  • need of urgent examination (within 24 hours),
  • need of X-ray examinations not suitable at home.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT01098916

San Giovanni Battista Hospital
Torino, Italy, 10126
Sponsors and Collaborators
Azienda Ospedaliera San Giovanni Battista
Principal Investigator: Teresa Cammarota, MD Fifth Radiology Department, San Giovanni Battista Hospital of Torino

Publications automatically indexed to this study by Identifier (NCT Number): Identifier: NCT01098916     History of Changes
Other Study ID Numbers: 0078572
First Posted: April 5, 2010    Key Record Dates
Last Update Posted: April 5, 2010
Last Verified: May 2008

Keywords provided by Azienda Ospedaliera San Giovanni Battista:
hospital at home
radiology at home
frail elderly

Additional relevant MeSH terms:
Heart Failure
Heart Diseases
Cardiovascular Diseases
Lung Diseases
Respiratory Tract Diseases
Respiratory Tract Infections
Bone Diseases, Infectious
Bone Diseases
Musculoskeletal Diseases