DRKS00014645已完成未知
Poly-stakeholders integrated care for chronic patients in acute phases - POLYCARE
niversitätsklinikum Bonn - Studienzentrale SZB - Institut für klinische Chemie und klinische Pharmakologie0 个研究点目标入组 7 人开始时间: 2018年5月7日最近更新:
适应症
试验速览
- 阶段
- 未知
- 状态
- 已完成
- 发起方
- 入组人数
- 7
研究概览
简要总结
暂无简介。
研究设计
- 研究类型
- Interventional
- 分配方式
- N/a: Single Arm Study
- 盲法
- Open (masking not used)
入排标准
- 年龄范围
- 65 Years 至 one（—）
- 性别
- All
入选标准
- •Age = 65 years
- •Living in the area of coverage
- •Patients with the ability to follow study instructions and likely to attend and complete all required visits
- •Written informed consent
- •Supported by either a nursing service or an informal carer living in the same household
- •Appropiate Housing Conditions
- •Informal carer available (at least by telephone) all day
- •Having social needs, defined as
- •Barber at least 2 answers in the affirmative + Any Barthel-Score OR
- •Barthel-Score between 80 and 95 + Barber at least 1 answer in the affirmative OR
- •Barthel-Score 75 or less + any Barber
- •COPD exacerbation (without indication for in-patient treatment according to the GP)
- •physician-diagnosed COPD (defined as FEV1/ FVC <70%)
- •new exertional dyspnea or worsening of existing exertional dyspnea
- •necessity of a systemic therapy with antibiotics and/or corticosteroids
- •Decompensated heart failure (without indication for in-patient treatment according to the GP)
- •physician-diagnosed heart failure (all functional classes)
- •At least one of the following symptoms
- •o new exertional dyspnea or worsening of existing exertional dyspnea
- •o new peripheral oedema or worsening of existing oedema
- •o increase in weight of = 2 kg within 5 days or less
- •necessity of new medication with a (additional) diuretic or modification (increase) of an existing diuretic therapy
- •Pneumonia (without indication for in-patient treatment according to the GP)
- •Suspected pneumonia by the GP PLUS at least one of the following
- •o Corresponding auscultation of the lung
- •o Elevated CRP
- •o Corresponding Chest-x-ray
- •At least two points in the Charlson Comorbidity Index (CCI)
- •Pyelonephritis (without indication for in-patient treatment according to the GP)
- •Suspected pyelonephritis by the GP PLUS at least one of the following:
- •o Elevated CRP
- •o Corresponding urine test strip
- •o Corresponding ultrasound
- •At least two points in the Charlson Comorbidity Index (CCI)
- •Erysipel (without indication for in-patient treatment according to the GP)
- •Suspected erysipel by the GP
- •At least two points in the Charlson Comorbidity Index (CCI)
排除标准
- •Patients not able to give consent
- •Necessity of hospitalization according to the appraisal of the GP
- •Severe dyspnea
- •Oxygen saturation < 90% (if measured)
- •Rapid progression of symptoms
- •Clouding of conscioussness
- •Central cyanosis
- •Uncertain diagnosis
- •Hypotension, defined as systolic blood pressure < 100 mmHg
- •Pulmonary oedema
- •New or hemodynamic relevant arrhythmias (including new atrial fibrillation)
- •Patients without legal capacity who is unable to understand the nature, scope, significance and consequences of this clinical trial
- •Patients with implanted pacemaker or ICD-system
- •Patients with severe mental retardation, psychiatrical disorders or other cognitive impairment resulting in incapability to adequately estimate the risks and benefits of study participitation (e.g. advanced dementia)
- •Patient lacks suitability for Polycare in estimation of the local Polycare-Team (consisting of staff of SZB and IfH of the UKB)
研究者
相似试验
已完成
不适用
Intersectoral organized care of complex chronic diseases: Stroke navigators in East Westphalia-Lippe - STROKE OWCerebral infarctionI60I61I62I63I64G45Subarachnoid haemorrhageIntracerebral haemorrhageOther nontraumatic intracranial haemorrhageStroke, not specified as haemorrhage or infarctionTransient cerebral ischaemic attacks and related syndromesDRKS00030297Stiftung Deutsche Schlaganfall-Hilfe1,512
已完成
不适用
Diabetes and Tuberculosis - Integrated management using the primary healthcare infrastructure in IndiaCTRI/2017/10/010199The George Institute for Global Health48
已完成
不适用
Collaborative Care for patients with severe personality disorders: a comparative multiple case study on process and outcomes.cluster B personality disorderspersonality disorders10034726NL-OMON34680De Geestgronden (Bennebroek)32
已完成
不适用
Development of an integrated care pathway (ICP) for end-of-life care in long term care facilities in JapaJPRN-UMIN000022579Tokyo Medical and Dental University79
已完成
不适用
A shared care approach for seriously ill cancer patients between general practice, discharge department and a specialist palliative care teamTerminal cancer/palliative careTerminal cancerCancerISRCTN15273887niversity of Aarhus (Denmark) - Research Unit for General Practice270