Cardiac Care Bridge

Completed

Conditions: In deze studie zullen patiënten met alle cardiologische aandoeningen worden geïncludeerd op zowel de afdelingen cardiologie als cardiothoracale chirurgie
Cardiovascular disease / heart disease
10082206

Registration Number: NL-OMON47539

Lead Sponsor: Academisch Medisch Centrum

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Completed

Sex: Not specified

Target Recruitment: 500

Inclusion Criteria

- Cardiac patients of 70 years and older
- Admitted to the departments of cardiology or cardiothoracic surgery
- Electively and non-electively
- Admission > 48 hours
- Hisk of functional loss according to the screening-tool for frailty of the
Dutch Safety Management Program (screening on ADL-functioning, fall risk,
malnutrition and delirium) and/or an unplanned admission in the previous six
months
- Mini-Mental Examination Score (MMSE) >= 15

Exclusion Criteria

- Congenital heart disease
- Terminal illness: defined as a life expectancy of less than three months, for
example because of cancer or terminal heart failure.
-Transferred from or to a nursing home
-Transferred to another hospital not participating in this study
- Unable to communicate in Dutch
- Delirium as confirmed by the treating physician

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
<p>A composite endpoint of unplanned hospital readmission and mortality up to six<br /><br>months after randomizaton</p><br>

Secondary Outcome Measures

Name	Time	Method
<p>Readmissions and mortality within three and twelve months after randomization<br /><br>ADL-functioning<br /><br>iADL-functioning<br /><br>Functional capacity<br /><br>Medication adherence<br /><br>Anxiety<br /><br>Depression<br /><br>Health-related quality of life<br /><br>Symptom burden<br /><br>Healthcare utilization (Regular community care, primary care visits, emergency<br /><br>department visits, hospital readmissions and institutionalization)<br /><br>Caregiver burden</p><br>