PalliSupport, a transitional care pathway for elderly patients at the end of life

Recruiting

• Conditions: Kwetsbaarheid en/of ongeneeslijke aandoening met een levensverwachting van minder dan een jaar; Life threatening disease and frailty

• Registration Number: NL-OMON46089
• Lead Sponsor: Academisch Medisch Centrum

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Last Update Posted: 15 April 2024

Recruitment & Eligibility

• Status: Recruiting
• Sex: Not specified
• Target Recruitment: 600

Inclusion Criteria

1) Age (*65 years);
2) Acutely admitted for *48 hours to the departments of internal medicine, geriatrics, cardiology, pulmonary disease, gastroenterology or oncology;
3) Positive SPICT* criteria*: a hospital admission in six months prior to admission, functional status decline and weight loss (65-79 years: two or more positive criteria, >80 years: 1 or more positive criteria);
4) Ability to read and speak the Dutch language;

Exclusion Criteria

Patients who are not able to answer questionnaires due to severe cognitive impairment (MMSE<15) due to diagnosis of dementia or active delirium during the entire admission, will be excluded. Furthermore, patients who live far from the hospital and therefore cannot be visited by the palliative care team will be excluded (based on ZIP code area).

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
<p>The primary outcome is the occurrence of (at least one) unplanned<br /><br>hospitalisation in the six months after discharge.</p><br>

Secondary Outcome Measures

Name	Time	Method
<p>Secondary outcomes are dying at the place of patient*s preference. Furthermore,<br /><br>the quality of life, symptom burden, palliative outcomes, caregivers* burden<br /><br>and health care utilisation will be assessed. </p><br>