Hyponatremia in the Prevention of Hospitalized Patients Falls (PRECAHI)
Effectiveness of Early Intervention in the Diagnosis and Treatment of Hyponatremia in the Prevention of Hospitalized Patients Falls
調査の概要
状態
詳細な説明
Effectiveness of early intervention in the diagnosis and treatment of hyponatremia in the prevention of hospitalized patients´ falls.
Aims:
- To assess the effectiveness of corrective activity of hyponatremia in falls reducing incidence.
- To assess the cost-effectiveness ratio of the two proposed strategies: conventional treatment versus early intervention.
Cross ecological quasi-experimental study. The project will take place in Gregorio Marañón Hospital (Madrid, Spain) in the following inpatient adult Units: Neurology, Rehabilitation 1, Geriatrics, Internal Medicine (Group A), Cardiology, Rehabilitation 2, Gastroenterology, Neurosurgery and Oncology (Group B).
The estimated sample size for a confidence level of 95% (α = 0.05) and power of 90% (β = 0.010), taking into account a decrease in the incidence of falls of 20% restocking losses, is 124 patients per group (ie, the 124 patients receiving regular performance ** and 124 patients receiving the experimental intervention *, if necessary, by participant Unit).
Data collection: In each of the study participants Units both interventions will be held. First the participants Units have been randomized in two groups (Group A: Neurology, Rehabilitation 1, Geriatrics, Internal Medicine; Group B: Cardiology, Rehabilitation 2, Gastroenterology, Neurosurgery and Oncology). All patients hospitalized in these Units will be potentially included. First of all, collaborators will give them an informed consent to ask for their participation.
The interventions are:
- Experimental intervention: early diagnosis, treatment of hyponatremia until resolution and valuation according to the Dynamic Gait Index test. Duration: 6 months
- Habitual action: the usual pattern of work will be performed in all patients who enter. Duration: 6 months.
研究の種類
入学 (実際)
段階
- 適用できない
連絡先と場所
研究場所
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Madrid、スペイン、28007
- Hospital General Universitario Gregorio Marañon
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参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
Inclusion Criteria:
- Age >65 years
- Admitted to a participating study unit
- Wish to participate in the study and signature of informed consent.
Exclusion Criteria:
- Transfer of the patient to a unit not included in the study
- Deterioration of the patient's condition to severe or extremely painful
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：防止
- 割り当て：ランダム化
- 介入モデル：クロスオーバー割り当て
- マスキング：なし（オープンラベル）
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
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実験的：Early hyponatremia diagnosis and treatment
The early diagnosis of hiponatremia is not a stándar procedure.
In the experimental arm, hyponatremia will be diagnosed and treated early.
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In the experimental group, hyponatremia will be diagnosed and treated early.
Therefore, the researchers will review the patients' sodium levels at admission and throughout their stay.
Usual pattern of work will be performed in all patients who enter in Hospital.
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介入なし：No intervention
Usual pattern of work will be performed in all patients who enter in Hospital.
Duration: 6 months.
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この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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To evaluate the effectiveness of treatment of hyponatremia in reducing the incidence of falls.
時間枠：1 year
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The effectiveness will be measured in terms of less incidence of falls
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1 year
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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To evaluate the cost-effectiveness of the 2 strategies proposed: conventional treatment vs early intervention.
時間枠：1 year
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The cost-effectiveness will be indirectly measured using Average cost per inpatient day
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1 year
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協力者と研究者
捜査官
- 主任研究者：Carmen Lobo-Rodriguez, pHd、carmen.lobo@salud.madrid.org
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (実際)
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
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