Integrated Post-Acute Care Program for Frail Elderly
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Frailty
- Sponsor
- Taipei City Hospital
- Enrollment
- 254
- Locations
- 1
- Primary Endpoint
- 90-day emergency room visits
- Status
- Completed
- Last Updated
- 3 years ago
Overview
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.
Investigators
Tai-Yin Wu
Doctor
Taipei City Hospital
Eligibility Criteria
Inclusion Criteria
- •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
Exclusion Criteria
- •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
Outcomes
Primary Outcomes
90-day emergency room visits
Time Frame: 90 days after post-acute care
Emergency room visits after post-acute care
90-day readmissions
Time Frame: 90 days after post-acute care
Readmissions visits after post-acute care
90-day mortality
Time Frame: 90 days after post-acute care
Mortality after post-acute care