Post-acute Care for Patients With Frailty

Not Applicable

Completed

• Conditions: Frailty; Retrospective Study
• Interventions: Other: Post-acute care

• Registration Number: NCT05452395
• Lead Sponsor: Taipei City Hospital

Brief Summary

Acute illness could be enormous stress for frail people. Combining comprehensive geriatric assessment and multifactorial intervention has positive effects on frail community older adults. However, few studies investigated the effects of post-acute care (PAC) in frail older patients who just recovered from acute hospitalization. This study aimed to evaluate the effects of PAC on frail older adults in Taiwan.

Detailed Description

Frail patients aged \>= 75 were recruited and divided into PAC or control groups. The PAC group received comprehensive geriatric assessment (CGA) and multifactorial intervention for two to four weeks. The control group received CGA only. The primary outcomes were 90-day emergency room visits, readmissions, and mortality after PAC.

Study Timeline

• Study Start: 2020-06-19
• Primary Completion: 2020-12-31
• Study Completion: 2020-12-31
• Status Verified: 2022-07
• Study First Submitted: 2022-07-06
• Study First Submitted QC: 2022-07-06
• Last Update Submitted: 2022-07-06
• Study First Posted: 2022-07-11
• Last Update Posted: 2022-07-11

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 254

Inclusion Criteria

1. Mild to severe frailty identified by the Clinical Frailty Scale
2. Age ≥ 75 years
3. Diagnosis with Parkinson's disease, dementia, chronic obstructive pulmonary disease, or chronic kidney disease stage three or worse
4. Acute hospital stays between 3 to 30 days with deconditioning
5. Stable medical condition with no need of intensive care, laboratory examination, or oxygen dependence

Exclusion Criteria

1. Refused to participate in the program
2. Candidate for other post-acute care programs (i.e. stroke, traumatic neurological injury, or fracture)
3. Unable to cooperate with the program due to mental or cognitive impairment
4. Long-term ventilator-dependence
5. Long-term bed-ridden status (> 6 months)
6. Diagnosed as end of life and in need of palliative care
7. Diagnosed as major illness (i.e. end-stage renal disease) and in need of frequent inpatient treatment ( > 3 times over recent 6 months)
8. Institutional residents
9. Home medical care participants

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Post-acute care	Post-acute care	comprehensive geriatric assessment, and either home-based or hospital-based post-acute care

Primary Outcome Measures

Name	Time	Method
90-day emergency room visits	90 days after post-acute care	Emergency room visits after post-acute care
90-day readmissions	90 days after post-acute care	Readmissions visits after post-acute care
90-day mortality	90 days after post-acute care	Mortality after post-acute care

Trial Locations

Locations (1)

Taipei City Hospital; 🇨🇳 Taipei City, Taiwan