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Completed

NCT Number: NCT07478445

Home Rehabilitation After Hip Fracture

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.

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Key information

Conditions

Hip Fractures (ICD-10 72.01-72.2) Femoral Fractures Fractures, Bone Hip Fractures Hip Injuries Home Care Services Home Care, Hospital-Based Leg Injuries Wounds and Injuries

Age range

65 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Hospital Universitari i Politècnic La Fe

Valencia, 46026, Spain

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • - 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).

Exclusion criteria

  • - 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.

Treatment and study plan

Primary outcomes

  1. Walking ability and home transfers

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

    Walking ability and home transfers, taken from the Barthel Index

Secondary outcomes

  1. Functional improvement

    Time frame: prior, admission to the UHD, and at 45 and 180 days

    measured by the change of the Barthel Index

  2. Mortality

    Time frame: 360 days

    Number of deaths

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

    Time frame: Baseline

    The modified Clinical Frailty Scale (CFS) is a simple, 34-point clinical tool used by healthcare providers to quickly summarize a patient's overall level of fitness or frailty based on their mobility, energy, and function. It helps predict outcomes and guide care decisions in older adults.

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

    Time frame: 15 days

    Safety was assessed by monitoring the occurrence of all-cause readmissions, episodes of delirium, wound infection, or bleeding during the intervention period.

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

    Time frame: One year

    Quality of life was assessed using the EuroQol-5D-3L (EQ-5D-3L), a standardized instrument measuring health-related quality of life across five dimensions (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression), each with three levels. The descriptive system defines health states and does not itself yield a single score with fixed minimum and maximum values. Health states can be converted into a utility index typically ranging from values below 0 (worse than death) to 1 (full health), where higher scores indicate better health. Changes in quality of life will be assessed at 12 months

Sponsors and collaborators

Lead sponsor

Instituto de Investigacion Sanitaria La Fe

Other

Registry information

Official study title

[Rehabilitación Domiciliaria Tras Fractura de Cadera] Home Rehabilitation After Hip Fracture

Acronym: RECADO

Important dates

Study start
2024
Primary completion
2025
Study completion
2025
First posted
Mar 17, 2026
Registry last updated
Mar 19, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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