Prevention of AcuTe admIssioN Algorithm (PATINA)

Not Applicable

Completed

• Conditions: Avoid Acute Hospitalizations
• Interventions: Other: PATINA algorithm

• Registration Number: NCT04398797
• Lead Sponsor: Region of Southern Denmark

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.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2020-05-13
• Study First Submitted QC: 2020-05-18
• Study First Posted: 2020-05-21
• Study Start: 2020-06-01
• Primary Completion: 2022-05-31
• Study Completion: 2022-05-31
• Status Verified: 2022-10
• Last Update Submitted: 2022-10-25
• Last Update Posted: 2022-11-03

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 2464

Inclusion Criteria

• Community dwelling citizens (+ 65) receiving home and social care in Odense, Kerteminde and Svendborg Municipalities.

Exclusion Criteria

• Non

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Intervention	PATINA algorithm	Use of notification algorithm and nurse follow-up

Primary Outcome Measures

Name	Time	Method
Hospitalizations	30 days from identification by the algorithm (6 months for intervention phase)	Calculated based on data from the Danish National Patient Registry

Secondary Outcome Measures

Name	Time	Method
Hospital readmissions	30 days from identification by the algorithm (6 months for intervention phase)	Calculated based on data from the Danish National Patient Registry
Outpatient contacts	30 days from identification by the algorithm (6 months for intervention phase)	Calculated based on data from the Danish National Patient Registry
Use of temporary care in a skilled nursing facility	30 days from identification by the algorithm (6 months for intervention phase)	Calculated based on data from the three participating municipalities electronic care records
Use of community home and social care services	30 days from identification by the algorithm (6 months for intervention phase)	Calculated based on data from the three participating municipalities electronic care records
Contacts to primary care physicians	30 days from identification by the algorithm (6 months for intervention phase)	Calculated based on data from the Danish National Health Insurance Service Register
Mortality	30 days from identification by the algorithm (6 months for intervention phase)	Calculated based on data from the Danish Cause of death register.

Trial Locations

Locations (1)

Odense University Hospital; 🇩🇰 Odense, Denmark