Home Rehabilitation After Hip Fracture (RECADO)

[Rehabilitación Domiciliaria Tras Fractura de Cadera] 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.

Study Overview

• Status: Completed
• Conditions: Hip Fractures (ICD-10 72.01-72.2); Home Care Services; Home Care, Hospital-Based

• Study Type: Observational
• Enrollment (Actual): 80

Contacts and Locations

Study Locations

• Spain
  • Valencia
    • Valencia, Valencia, Spain, 46026
      • Hospital Universitari i Politècnic La Fe

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Older Adult
• Accepts Healthy Volunteers: No

• Sampling Method: Non-Probability Sample

Study Population

Older undergoing surgery for traumatic hip fracture.

Description

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.

Study Plan

How is the study designed?

Number of groups / cohorts

1

Cohorts and Interventions

Group / Cohort
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.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
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 Outcome Measures

Outcome Measure	Measure Description	Time Frame
Functional improvement	measured by the change of the Barthel Index	prior, admission to the UHD, and at 45 and 180 days
Frailty was assessed with the Rockwood Index at the time of admission, at 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.	Baseline
Number of participants with all-cause readmission, delirium, wound infection, or bleeding	Safety was assessed by monitoring the occurrence of all-cause readmissions, episodes of delirium, wound infection, or bleeding during the intervention period.	15 days
Mortality	Number of deaths	360 days
Change in quality of life assessed by the EuroQoL-5D questionnaire	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	One year

Collaborators and Investigators

• Sponsor: Instituto de Investigacion Sanitaria La Fe
• Investigators: Principal Investigator: 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); Study Chair: 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); Principal Investigator: Marta Muñoz Domingo, Senior Technician / Research C, Universitat Politècnica de València (UPV) Centro de Investigación de Ingeniería Económica (CIEGS)

Study record dates

Study Major Dates

• Study Start (Actual): February 1, 2024
• Primary Completion (Actual): February 26, 2025
• Study Completion (Actual): September 30, 2025

Study Registration Dates

• First Submitted: March 10, 2026
• First Submitted That Met QC Criteria: March 13, 2026
• First Posted (Actual): March 17, 2026

Study Record Updates

• Last Update Posted (Actual): March 19, 2026
• Last Update Submitted That Met QC Criteria: March 17, 2026
• Last Verified: March 1, 2026

More Information

Terms related to this study

• Keywords: Multidisciplinary care; Adult; Aged; Physical Therapy Modalities; Functional Status; Hip Fractures; Home care services; Hospital at home; Patient Discharge
• Additional Relevant MeSH Terms: Wounds and Injuries; Leg Injuries; Fractures, Bone; Femoral Fractures; Hip Injuries; Hip Fractures
• Other Study ID Numbers: 2025-0224-1

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: YES
• IPD Sharing Supporting Information Type: STUDY_PROTOCOL; SAP

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No