Home Monitoring of Chronic Disease for Aged Care

Not Applicable

Completed

• Conditions: Congestive Heart Failure (CHF); Chronic Obstructive Pulmonary Disease (COPD); Coronary Artery Disease (CAD); Diabetes; Hypertensive Diseases; Asthma; Health Services Research; Cardiovascular - Coronary heart disease; Cardiovascular - Other cardiovascular diseases; Respiratory - Chronic obstructive pulmonary disease

• Registration Number: ACTRN12613000635763
• Lead Sponsor: CSIRO ICT Centre

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2013-06-05
• Last Update Posted: 13 January 2020

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 450

Inclusion Criteria

1. Potential subjects must be known to a Chronic Disease Management, Coordinated Care or Connected care program operating in the area and must be in the care of a carer, community nurse and GP. Patients on EACH packages are specifically excluded.

2. Patients will be identified by way of disease group (ICD Code), by age and by frequency of admission from Hospital Records from Hospitals in each catchment area.

3. Chronic conditions included: Diabetes, Congestive heart failure (CHF), Coronary Artery Disease (CAD), Chronic Obstructive Pulmonary Disease (COPD) and Hypertension (High blood pressure) as defined by the relevant ICD Codes. Exclusions: Cancer, Neuromuscular (MS, Parkinsons etc) or Psychiatric conditions are not classified as suitable chronic conditions for the purpose of this study.

4. Patients will be selected as potential participants in the program if they are:
i. Aged as 50 years old and over
ii.Have a cognitive capacity equivalent to an
MMSE–2 score > 25.
iii.Not on renal dialysis or chemo-therapy.
Have had either
iv. At least two unplanned acute admission in the
last 12 months with one or more chronic
conditions listed in (3) as their principal diagnosis:
or
v. At least four (4) unplanned acute hospital
admission over the previous 5 years, with one or
more chronic conditions listed in (3) as their
principal diagnosis:

Exclusion Criteria

Cancer, Neuromuscular Disease (MS, Parkinson’s etc) and Mental Health conditions are not classified as suitable chronic conditions for the purpose of this study

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Primary Outcome 1: Deploy and demonstrate operation of NBN enabled telehealth in a multi-site, multi-state case matched control (BACI Design) trial of chronically ill patients living in their own homes in the community. <br><br>Assess outcomes by statistical analysis of overall performance of the trial with respect to numbers deployed, duration of monitoring, level of patient compliance, acceptability to clinical staff etc.[Timepoint: at one year after service commences];Primary Outcome 2: Evaluate the reduction of unscheduled admissions to Accident and Emergency (A&E) in each of the six test sites compared to the control group.<br><br>Outcomes to be assessed through a statistical analysis of Hospital Records.<br>[Timepoint: at one year after service commences]