Sending Advisory Electronic Mail to Primary Care Staff, Addressing Low Metabolic Measures: Assessing the Health Outcomes for Patients Above Age 75
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 8,584
- 主要终点
- Death From Any Cause
研究概览
简要总结
The purpose of this study is to determine whether alerting primary care providers by email about low values of BMI, HbA1c% or cholesterol will affect treatment and improve overall survival and other health indexes of people older than 75 years.
详细描述
Scientific background
Interventions aimed to ameliorate malnutrition are important for elderly health and include dietary counseling and discontinuing unnecessary medicines.
Emailing an alert regarding low BMI was found to improve dietary counseling numbers.
Correlation between death and HbA1c% is U-shaped, with increased mortality under a 6.5% level in patients taking two anti-diabetic medicines. Sending an email alert regarding an over-tight control of diabetes was followed by a reduction in mortality.
Death and cholesterol correlation is also U-shaped, with increased mortality and morbidity under 160 mg%. The investigator found no interventional study for this situation.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 75 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •All found by computerized search in the data base of Clalit Health Services North and South districts:
- •A drop in BMI of 2 Kg/m^2 or more during previous two years AND
- •BMI less than 23 Kg/m^2 AND
- •No dietitian counseling during previous year
- •Last HbA1c% level of 6.5% or less AND
- •dispensing anti-diabetic medicines during previous 2 months
- •Last total cholesterol less than 160 mg/dL AND
- •dispensing cholesterol-lowering medicines during previous 2 months
排除标准
- •Patients whose their primary doctor and nurse email address is unobtainable
- •For criterion 3: Patients diagnosed to have had a myocardial infarction, an ischemic heart disease, a transient ischemic attack or an ischemic stroke.
结局指标
主要结局
Death From Any Cause
时间窗: 1 year
Impact on overall-survival
次要结局
- Impact on Evaluation Rate(1 year)
- Impact on Medical Costs(1 year)
- Impact on a Composite Measure of Medical Treatment(1 year)
研究者
Dr. Nir Tsabar
North District Principal Geriatrician
Clalit Health Services