Integrated Post-Acute Care Program for Frail Elderly
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 254
- 试验地点
- 1
- 主要终点
- 90-day emergency room visits
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 75 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Mild to severe frailty identified by the Clinical Frailty Scale
- •Age ≥ 75 years
- •Diagnosis with Parkinson's disease, dementia, chronic obstructive pulmonary disease, or chronic kidney disease stage three or worse
- •Acute hospital stays between 3 to 30 days with deconditioning
- •Stable medical condition with no need of intensive care, laboratory examination, or oxygen dependence
排除标准
- •Refused to participate in the program
- •Candidate for other post-acute care programs (i.e. stroke, traumatic neurological injury, or fracture)
- •Unable to cooperate with the program due to mental or cognitive impairment
- •Long-term ventilator-dependence
- •Long-term bed-ridden status (> 6 months)
- •Diagnosed as end of life and in need of palliative care
- •Diagnosed as major illness (i.e. end-stage renal disease) and in need of frequent inpatient treatment ( > 3 times over recent 6 months)
- •Institutional residents
- •Home medical care participants
研究组 & 干预措施
Post-acute care
comprehensive geriatric assessment, and either home-based or hospital-based post-acute care
干预措施: Post-acute care (Other)
control group
comprehensive geriatric assessment only
结局指标
主要结局
90-day emergency room visits
时间窗: 90 days after post-acute care
Emergency room visits after post-acute care
90-day readmissions
时间窗: 90 days after post-acute care
Readmissions visits after post-acute care
90-day mortality
时间窗: 90 days after post-acute care
Mortality after post-acute care
次要结局
未报告次要终点
研究者
Tai-Yin Wu
Doctor
Taipei City Hospital