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

This study has been completed.
Sponsor:
ClinicalTrials.gov Identifier:
NCT01098916
First Posted: April 5, 2010
Last Update Posted: April 5, 2010
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.
Collaborator:
FondazioneCRT
Information provided by:
Azienda Ospedaliera San Giovanni Battista
  Purpose
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 Intervention
Acute Congestive Heart Failure Exacerbation of COPD Pneumonia Fractures Osteomyelitis Radiation: Home X-rays Radiation: X-rays in hospital

Study Type: Interventional
Study Design: 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

Resource links provided by NLM:


Further study details as provided by Azienda Ospedaliera San Giovanni Battista:

Primary Outcome Measures:
  • 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:
  • 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

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


Enrollment: 69
Study Start Date: June 2008
Study Completion Date: June 2009
Primary Completion Date: June 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
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

  Eligibility

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
Criteria

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.
  Contacts and Locations
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 ClinicalTrials.gov identifier (NCT number): NCT01098916


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

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
ClinicalTrials.gov Identifier: NCT01098916     History of Changes
Other Study ID Numbers: 0078572
First Submitted: March 10, 2010
First Posted: April 5, 2010
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
Pneumonia
Osteomyelitis
Heart Diseases
Cardiovascular Diseases
Lung Diseases
Respiratory Tract Diseases
Respiratory Tract Infections
Bone Diseases, Infectious
Infection
Bone Diseases
Musculoskeletal Diseases