Home Rehabilitation After Hip Fracture

NCT07478445 | Completed DMC

• 1 other identifier: 2025-0224-1
• Study Type: observational
• Target: 80
• Locations: 1 country
• Sites: 1

Brief Summary

This study will examine whether a home-based rehabilitation program can help older adults recover after surgery for a hip fracture. The program is delivered by a specialized "Hospital-at-Home" unit, which provides hospital-level care in the patient's home. Participants in this study are adults aged 65 years and older who have undergone hip fracture surgery at Hospital Universitari i Politècnic La Fe in Valencia, Spain. Instead of remaining in the hospital after surgery, participants will be admitted to the Hospital-at-Home program. A multidisciplinary medical team will provide comprehensive care at home, including medication management, wound care, and in-home physical therapy. The primary goal of the study is to assess recovery of walking ability and mobility within the home. The study will also evaluate overall functional improvement, frailty, and survival. Participants will be assessed at the start of the program and again at 45 days and 180 days after surgery. The information collected will help determine whether this type of home-based care is an effective option for supporting recovery and independence in older adults after a hip fracture. Recruitment for the study began in February 2024 and is expected to continue for one year.

Conditions

Home Care Services; Hip Fractures (ICD-10 72.01-72.2); Home Care, Hospital-Based

Keywords

Hospital at home; Multidisciplinary care; Patient Discharge; Physical Therapy Modalities; Functional Status; Adult; Aged; Hip Fractures; Home care services

Outcome Measures

Primary Outcomes (1)

• Walking ability and home transfers

  Walking ability and home transfers, taken from the Barthel Index

  assessed at different time points (prior, admission to the UHD, and at 45 and 180 days).

Secondary Outcomes (5)

• Functional improvement

  prior, admission to the UHD, and at 45 and 180 days

• Mortality

  360 days

• Frailty was assessed with the Rockwood Index at the time of admission, at baseline

  Baseline

• Number of participants with all-cause readmission, delirium, wound infection, or bleeding

  15 days

• Change in quality of life assessed by the EuroQoL-5D questionnaire

  One year

Study Arms (1)

Home rehabilitation of hip fracture

The cohort included patients with hip fracture who were referred from the hospital to home-based rehabilitation at discharge, managed by a multidisciplinary team that included physiotherapists.

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Older undergoing surgery for traumatic hip fracture.

You may qualify if:

• \- Patients aged 65 years or older undergoing surgery for traumatic hip fracture.
• Ability to actively collaborate in the physiotherapy program.
• Compliance with the UHD admission criteria (contact telephone number, identified caregiver, and residence within the geographical area of the Hospital Universitari i Politècnic La Fe).

You may not qualify if:

• \- Patients residing outside the geographical area covered by the La Fe hospital UHD.
• Refusal to participate in the follow-up.
• Clinical instability or end-of-life situation (oncologic or non-oncologic).
• Cognitive impairment that prevents collaboration.
• Institutionalized patients.

Sponsors & Collaborators

• Instituto de Investigacion Sanitaria La Fe: lead

Study Sites (1)

Hospital Universitari i Politècnic La Fe

Valencia, Valencia, 46026, Spain

Location

MeSH Terms

Conditions

Hip Fractures

Condition Hierarchy (Ancestors)

Femoral Fractures; Fractures, Bone; Wounds and Injuries; Hip Injuries; Leg Injuries

Study Officials

• Ana Torrego, MD, PhD

  Hospital at Home Unit - Hospital UiP La Fe Valencia Avda Fernando Abril Martorell 106 Torre B Planta 1 Valencia 26206 (SPAIN)

  PRINCIPAL INVESTIGATOR

• Ana Soler, MD, PhD

  Physical Medicine and Rehabilitation Service (SMFR); Hospital UiP La Fe Valencia Avda Fernando Abril Martorell 106

  STUDY CHAIR

• Elisa Soriano, MD, PhD

  Hospital at Home Unit Hospital UiP La Fe Valencia Avda Fernando Abril Martorell 106 Torre B Planta 1 Valencia 26206 (SPAIN)

  STUDY CHAIR

• Marta Muñoz Domingo, Senior Technician / Research C

  Universitat Politècnica de València (UPV) Centro de Investigación de Ingeniería Económica (CIEGS)

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: March 10, 2026
• First Posted: March 17, 2026
• Study Start: February 1, 2024
• Primary Completion: February 26, 2025
• Study Completion: September 30, 2025
• Last Updated: March 19, 2026

Record last verified: 2026-03

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP

Locations

ES (1)