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

NCT01098916 | Completed

• 1 other identifier: 0078572
• Study Type: interventional
• Target: 69
• Locations: 1 country
• Sites: 1

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.

Conditions

Acute Congestive Heart Failure; Exacerbation of COPD; Pneumonia; Fractures; Osteomyelitis

Keywords

hospital at home; radiology at home; frail elderly

Outcome Measures

Primary Outcomes (1)

• Comparison of episodes of delirium related to the radiological procedure at home and in hospital, using the Confusion Assessment Method (CAM)

  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

  24 hours after the radiological procedure

Secondary Outcomes (2)

• Evaluation of direct and indirect costs of the radiological procedures performed at home or in hospital

  1 year

• Satisfaction of patients and/or families

  within 1 month after the procedure

Study Arms (2)

X-rays at home

EXPERIMENTAL

Home hospitalized elderly patients undergo X-rays at home

Radiation: Home X-rays

Hospital X-rays

ACTIVE COMPARATOR

Home hospitalized elderly patients undergo X-rays examinations in hospital

Radiation: X-rays in hospital

Interventions

Home X-rays RADIATION

X-rays examinations performed at home

X-rays at home

X-rays in hospital RADIATION

Hospital X-rays

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• 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.

You may not qualify if:

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

Sponsors & Collaborators

• Azienda Ospedaliera San Giovanni Battista: lead
• FondazioneCRT: collaborator

Study Sites (1)

San Giovanni Battista Hospital

Torino, 10126, Italy

Location

Related Publications (1)

• Ricauda NA, Tibaldi V, Bertone P, Quagliotti E, Tizzani A, Zanocchi M, Isaia GC, Grosso M, Cammarota T, Davini O. The RAD-HOME project: a pilot study of home delivery of radiology services. Arch Intern Med. 2011 Oct 10;171(18):1678-80. doi: 10.1001/archinternmed.2011.336. Epub 2011 Aug 8. No abstract available.

  PMID: 21824941 DERIVED

MeSH Terms

Conditions

Pneumonia; Fractures, Bone; Osteomyelitis

Interventions

X-Rays; Hospitals

Condition Hierarchy (Ancestors)

Respiratory Tract Infections; Infections; Lung Diseases; Respiratory Tract Diseases; Wounds and Injuries; Bone Diseases, Infectious; Bone Diseases; Musculoskeletal Diseases

Intervention Hierarchy (Ancestors)

Electromagnetic Radiation; Electromagnetic Phenomena; Magnetic Phenomena; Physical Phenomena; Radiation; Radiation, Ionizing; Health Facilities; Health Care Facilities Workforce and Services

Study Officials

• Teresa Cammarota, MD

  Fifth Radiology Department, San Giovanni Battista Hospital of Torino

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER

Study Record Dates

• First Submitted: March 10, 2010
• First Posted: April 5, 2010
• Study Start: June 1, 2008
• Primary Completion: June 1, 2009
• Study Completion: June 1, 2009
• Last Updated: April 5, 2010

Record last verified: 2008-05

Locations

IT (1)