Multidisciplinary team intervention incorporating telemedicine to improve the quality of care in the frail older persons, a model for transitional care from hospital to community in urban area (CGA for frail)

Not Applicable

• Conditions: Frail elderly patients; Frail; Comprehensive geriatric assessment; Multidisciplinary team interventions; Telemedicine

• Registration Number: TCTR20190910002
• Lead Sponsor: Siriraj Health Policy Unit

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Study Start: 2019-09-10
• Study Completion: 2021-08-31
• Last Update Posted: 19 August 2024

Recruitment & Eligibility

• Status: Pending (Not yet recruiting)
• Sex: All
• Target Recruitment: 256

Inclusion Criteria

1. The patients aged 60 years and older admitted at medical wards in Siriraj hospital.
2. Frail elderly patients according to the simple Frail Questionnaire Screening tool †Thai version
3. The patients who had a living area in Bangkoknoi or nearby this area.

Exclusion Criteria

1. The patients who lived in nursing homes.
2. Admitted patients at an intensive care unit
3. The patients were performed endotracheal intubation and using respirator more than 96 hours.
4. End-of-life patients

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
ength of stay At the discharge date Collected data after the patients were discharged.

Secondary Outcome Measures

Name	Time	Method
Hospital readmission within 30 days, 90 days 30 days and 90 days Collected data within 30 days and 90 days after the patients were discharged.,Emergency department visit within 30 days, 90 days 30 days and 90 days Collected data within 30 days and 90 days after the patients were discharged.,Functional outcome within 30 days, 90 days 30 days and 90 days Barthel index and LAWTON IADL scale,30-day-Mortality 30 days and 90 days Collected data within 30 days after the patients were discharged.,90-day-Mortality 30 days and 90 days Collected data within 90 days after the patients were discharged.,Economic status at 30 days, 90 days 30 days and 90 days Collected data within 30 days and 90 days after the patients were discharged.