The cost-effectiveness of systematic home visits by nurses of frail elderly primary care patients and caregivers of demented patients
Not Applicable
Completed
- Conditions
- DementiaFrailty, DementiaNervous System Diseases
- Registration Number
- ISRCTN05358495
- Lead Sponsor
- Vrije University Medical Centre (VUMC) (Netherlands)
- Brief Summary
2005 Results article in http://www.ncbi.nlm.nih.gov/pubmed/16150147 design and pilot results 2010 Results article in http://www.ncbi.nlm.nih.gov/pubmed/20457579 results 2024 Other publications in https://pubmed.ncbi.nlm.nih.gov/39140211/ Correction to results article (added 15/08/2024)
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 1100
Inclusion Criteria
1. Frail elderly as defined by:
1.1. Aged 75+ years persons living at home who score in the worst quartile of at least two of six COOP-charts are considered frail
1.2. Persons at high risk on the 7-minute screen and below the threshold of the Mini-Mental State Examination (MMSE) (less than 24)
2. Caregivers of demented persons (under 1.2.)
Exclusion Criteria
Does not comply with the above inclusion criteria
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Health related quality of life as measured with the Short Form 36 (SF-36), and Quality Adjusted Life Years by health utilities based on Euroqol (EQ-5D), measured at baseline, 6 and 18 months.
- Secondary Outcome Measures
Name Time Method 1. (Days until) institutionalization: hospital stay, placement in nursing home or home for the elderly are surveyed and crosschecked at institutes, measured at baseline, 6 and 18 months<br>2. Hospital admissions, measured at 18 months<br>3. (Days until) mortality as checked with the Primary Care Physicians (PCPs), measured at 18 months<br>4. Direct costs as measured by patient questionnaires with three-monthly recall periods. These self-report data are supplemented by data from the centralized regional pharmacy database (medication use), regional hospital check, and nursing home checks. In case patients are not able to fill out the forms themselves a close relative will be approached, measured at baseline, 6 and 18 months