Preventing hospital readmissions and loss of functional ability in high risk older adults: a randomised controlled trial
Not Applicable
Completed
- Conditions
- Hospital readmissions and loss of functional ability in older adults at high risk of hospital readmissionPhysical Medicine / Rehabilitation - Other physical medicine / rehabilitation
- Registration Number
- ACTRN12608000202369
- Lead Sponsor
- Professor Mary Courtney
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 328
Inclusion Criteria
1. Aged 65 years or older
2. Admitted to a hospital wards with a medical (i.e. non-surgical) diagnosis
3. Have at least one of the following known risk factors for hospital readmission:
a. aged 75 years or older
b. live alone
c. poor social support available at home
d. 2 or more hospital admissions within the previous 6 months
e. previous hopsitalisation in the past 30 days
f. moderate to severe functional impairment
g. history of depression
Exclusion Criteria
1. Unable to be contacted via telephone
2. Resident of a high care nursing home
3. Unable to speak or understand English
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Hospital readmissions and unplanned health service use (Emergency Department visits, emergency visits to General Practitioners or other health professionals)[4 weeks, 12 weeks and 24 weeks from discharge from hospital];Functional Ability, as measured with Instrumental Activities of Daily Living Scale, Activities of Daily Living Scae, and Walking Impairment Questionnaire (Modified)[On admission to the study, then 4 weeks, 12 weeks, and 24 weeks following hospital discharge];Cost effectiveness, using measures of cost of care, cost of unplanned health service use, costs related to decreased functional ability and loss of independence in activities of daily living[On admission to the study (baseline), 4 weeks, 12 weeks and 24 weeks from hospital discharge]
- Secondary Outcome Measures
Name Time Method Quality of Life, using the SF-12v2[On admission to the study, 4 weeks, 12 weeks, and 24 weeks from hospital discharge];Physical strength and endurance, measured with grip strength, Timed Get Up and Go Test, Berg Balance Scale, 6 metre walk test[On admission to the study, 4 weeks, 12 weeks and 24 weeks from hospital dishcarge];Psychosocial outcomes, as measured with the Geriatric Depression Scale, Medical Outcomes Study Social Support Scale and Chronic Disease Self-Efficacy Scales[On admission to the study, then 4 weeks, 12 weeks and 24 weeks from hospital discharge]