At a glance
ClinicalIndex Comparison Record- ✓Age 50 years or older
- ✓Admitted to Indiana University Health - Methodist or Eskenazi Health hospitals
- ✓Injury Severity Score (ISS) of 9 or greater
- ✓Able to provide informed consent or has a legally authorized representative
- ✕History of dementing illnesses or neurodegenerative disease (Alzheimer disease, Parkinson disease, vascular dementia)
- ✕Significant traumatic brain injury (intracranial blood on head CT or Glasgow Coma Scale <13 at enrollment)
- ✕Spinal cord injury with persistent neurologic deficit at enrollment
- ✕Self-reported cancer diagnosis with short life expectancy
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
Collaborative Care for the Older Injured Patient: A Trauma Medical Home
In Brief
A clinical study evaluating TMH Intervention and Usual Care for Injuries. Completed, enrolled 430 participants across 4 sites.
Detailed Summary
This proposal aims to conduct a randomized controlled trial to evaluate the efficacy of a 6-month collaborative care intervention in improving the functional and psychological recovery of 430 injury survivors 50 and older. The trial has the following specific aims: 1) Evaluate the ability of the TMH intervention to improve the physical recovery of older injury survivors; and 2) Evaluate the ability of the TMH intervention to improve the psychological recovery of older injury survivors; and 3) Evaluate the ability of the TMH intervention to reduce healthcare costs of older injury survivors and evaluate the cost of effectiveness of the TMH intervention.
Study Details
Timeline
Interventions
Home visits and close interaction with injured patient to assure plan for care is being followed.
Review hospital discharge and rehabilitation plan, identification of primary care provider, provision of educational materials on communication skills, caregiver coping skills, and legal and financial advice.