Elderly in Emergency Services: Effectiveness of an Intervention to Improve Health Outcomes
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 1,400
- 试验地点
- 1
- 主要终点
- Change in hand grip strength (HS) as a physical performance test
研究概览
简要总结
-Can a scheme based on inter geriatricians visiting nurse consultants and reduce negative impacts on the health of elderly over 70 years ?
详细描述
- Usual care as the comparison group
Usual care or standard refers to those processes or services that the elderly claimant receives the IMSS services network, after the acute phase of their illness has been stabilized and is defined that can be discharged from the emergency department, following clinical and therapeutic recommendations for improving their health.
- Elders risk population for emergency
The aging population brings a major change in health conditions and social conditions around the elderly, the analysis of the elderly population is considered according to functionality and risks of old age, when it comes to care services emergency, care becomes more critical as the elderly are older, have been identified adults of 70 and over as more vulnerable to health services, especially for the emergency services as they do not exhibit classic patterns to acute events of prevalent diseases.
- Functionality and dependence
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 70 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adults 70 and over.
- •Both sexes
- •Affiliation force in the IMSS
- •Attending spontaneously or referred to the emergency department of hospitals in the study.
- •Agree to participate in the study phase in observational or intervention by signed written informed consent
排除标准
- •Adults 70 and older whose income is service by:
- •a. A very serious acute condition with imminent risk to life and requires immediate emergency care, cataloged by the Triage system marked by the IMSS as Red or (state the patient's functional impairment characterized by high and low, with imminent risk life or the integrity and function of some of their organs and requires immediate medical attention since his arrival to the emergency room) or require emergency care (patient condition characterized by acute and severe functional impairment, life-threatening or the integrity and function of some of their organs and requires medical attention within the next 10 minutes after arrival at the emergency department).
- •An automobile accident
- •Burn-grade II or III
- •Partial or total unconsciousness
- •Severe cognitive impairment
- •Individuals who do not agree to participate in the study
结局指标
主要结局
Change in hand grip strength (HS) as a physical performance test
时间窗: Basal and Six months
A standardized technique and digital dynamometers (Exacta TM) wil lbe used, and the best result of two tests in the dominant hand will be used for analysis. No cut-off points will be applied; instead the variable will be assessed as a continuous one with kilograms as the units of measure.
次要结局
- Evaluation of individual and institutional impact(Six Months)
研究者
Maria del Carmen Garcia-Pena
Head, Research Unit on Aging
Coordinación de Investigación en Salud, Mexico