Comprehensive geriatric assessment in a HAH setting

Not Applicable

Completed

• Conditions: Topic: Primary Care, Ageing; Disease: All Ageing; Subtopic: Other Primary Care, Ageing, Ageing; Not Applicable

• Registration Number: ISRCTN60477865
• Lead Sponsor: niversity of Oxford

Brief Summary

2017 protocol in https://doi.org/10.1186/s13063-017-2214-y (added 12/05/2020) 2021 results in https://pubmed.ncbi.nlm.nih.gov/33872045/ (added 20/04/2021) (published 20/04/2021)

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2014-10-03
• Study Completion: 2020-01-31
• Last Update Posted: 3 May 2021

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 1055

Inclusion Criteria

Older patients with frailty who are aged >65 years and who have been referred to the admission avoidance HaH service with CGA and who would otherwise require admission to hospital for an acute medical event. This will include patients presenting with delirium, functional decline, dependence, falls, immobility or a background of dementia presenting with physical disease

Exclusion Criteria

1. Patient with acute coronary syndrome
2. Patients needing acute surgical assessment
3. Patients presenting with a suspected stroke
4. Patients who are receiving end of life care as part of a palliative care pathway
5. Patients who refuse the HaH service
6. Patients considered by the clinical staff to be too high risk for home based care, for example those who are physiologically unstable, who are at risk to themselves or if the carer reports HaH care would not be acceptable (in keeping with existing clinical practices for HaH)
7. The presence of a carer will not be a requirement for enrolment and will depend on the individual circumstances of the patient; this will be at the discretion of the clinician responsible for the patient (as is current clinical practice in each centre)

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
iving at home; Timepoint(s): 6 and 12 months

Secondary Outcome Measures

Name	Time	Method
<br> 1. Activities of daily living; Timepoint(s): 6 and 12 months<br> 2. Cognitive impairment; Timepoint(s): 6 and 12 months<br> 3. Delirium; Timepoint(s): 3 and 5 days, 1 month<br> 4. Mortality; Timepoint(s): 6 and 12 months<br> 5. New long-term residential care; Timepoint(s): 6 and 12 months<br> 6. Quality of life; Timepoint(s): 6 and 12 months<br> 7. Resource use; Timepoint(s): 6 and 12 months<br> 8. Transfer to hospital; Timepoint(s): 6 and 12 months<br>