Acute Combined Care for Seniors in Southern Denmark

Not Applicable

Completed

• Conditions: Acute Medical Conditions
• Interventions: Other: hospital specialist; Other: General Practitioner

• Registration Number: NCT02422849
• Lead Sponsor: University of Southern Denmark

Brief Summary

the elderly population (+ 65 years) is increasing. Acute medical conditions often leads to hospital admissions in this age group. However hospital admission is linked to adverse events. like confusion, medication errors or new infections.

the ACCESS project aims to examine alternatives to acute admissions for senior medical patients.

the aims are:

1. How many patients will be admitted to hospital due to acute medical conditions if cared for by their own General Practitioner (GP) versus a hospital intern specialist ?

2. how many patients will be admitted to hospital due to acute medical conditions if cared for by acute team in their home versus in specialised care centres ?

Detailed Description

Not available

Study Timeline

• Study Start: 2013-11
• Primary Completion: 2015-02
• Study First Submitted: 2015-03-27
• Study First Submitted QC: 2015-04-16
• Study First Posted: 2015-04-21
• Study Completion: 2015-06
• Status Verified: 2016-02
• Last Update Submitted: 2016-02-13
• Last Update Posted: 2016-02-17

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 131

Inclusion Criteria

• acute medical condition requiring immediate intervention.

Exclusion Criteria

• GP not available next days
• absolutely admission requiring condition
• no informed consent obtainable
• nursing home resident
• inclusion in ACCESS within the last 3 months
• home care capacity limit reached

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Hospital specialist	hospital specialist	The patient is cared for by a hospital specialist in the acute stage
own GP	General Practitioner	The patient is cared for by own General Practitioner in the acute stage

Primary Outcome Measures

Name	Time	Method
number of participants with hospital admission	3 months after inclusion

Secondary Outcome Measures

Name	Time	Method
patient and relatives satisfaction questionnaire	3 months after inclusion
change from baseline in quality of life (EQ5D scale)	3 months after inclusion
change from baseline in Orientation Memory-Concentration (OMC)	3 months after inclusion
change from baseline in De Morton Mobility Index (DEMMI)	3 months after inclusion

Trial Locations

Locations (1)

Aabenraa Sygehus Emergency Department; 🇩🇰 Aabenraa, Denmark