Prevention of AcuTe admIssioN Algorithm (PATINA) - The Effect of a Notification Algorithm and a Digital Decision Support Tool
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Avoid Acute Hospitalizations
- Sponsor
- Region of Southern Denmark
- Enrollment
- 2464
- Locations
- 1
- Primary Endpoint
- Hospitalizations
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
Utilization of public health care mirrors the older individual's overall health, and increased need for health care may precede more clear symptoms of acute disease. In a previous retrospective study, we found a significant increase in municipal home care service (minutes/week) in a 12-month period prior to acute hospitalization. This PhD-study aims at examining the effect of a software algorithm monitoring older citizens utilization of municipal home care. When home care increases the community nurse is notified and special attention is paid to the individual's current health situation. Pro-active health care initiatives may be launched in collaboration with the primary care physician. The intervention is the algorithm.
Investigators
Anders Fournaise
Industrial PhD student
Region of Southern Denmark
Eligibility Criteria
Inclusion Criteria
- •Community dwelling citizens (+ 65) receiving home and social care in Odense, Kerteminde and Svendborg Municipalities.
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Hospitalizations
Time Frame: 30 days from identification by the algorithm (6 months for intervention phase)
Calculated based on data from the Danish National Patient Registry
Secondary Outcomes
- Hospital readmissions(30 days from identification by the algorithm (6 months for intervention phase))
- Outpatient contacts(30 days from identification by the algorithm (6 months for intervention phase))
- Use of temporary care in a skilled nursing facility(30 days from identification by the algorithm (6 months for intervention phase))
- Use of community home and social care services(30 days from identification by the algorithm (6 months for intervention phase))
- Contacts to primary care physicians(30 days from identification by the algorithm (6 months for intervention phase))
- Mortality(30 days from identification by the algorithm (6 months for intervention phase))