An ESD Model of Care for Older Adults Admitted to Hospital: a Protocol for a Descriptive Cohort Study

Withdrawn

• Conditions: Aging; Function; Hospitalization

• Registration Number: NCT05731362
• Lead Sponsor: University of Limerick

Brief Summary

The MidWest multidisciplinary Community Intervention Teams (MD-CIT) comprise of specialist, healthcare teams that provide a rapid and integrated response to a patient with an acute episode of illness who requires enhanced services/acute intervention for a defined short period of time in the MidWest of Ireland. This is provided in the patient's home, thereby facilitating early discharge from the acute hospital setting.

The investigators are performing an evaluation of the MDCIT service provided to older adults admitted to UL Hospitals Group. The investigators will assess patients in hospital, at 30 days and at a six months.

Detailed Description

Not available

Study Timeline

• Study Start: 2023-01
• Study First Submitted: 2023-01-20
• Study First Submitted QC: 2023-02-07
• Study First Posted: 2023-02-16
• Primary Completion: 2023-06
• Status Verified: 2023-11
• Last Update Submitted: 2023-11-08
• Last Update Posted: 2023-11-13
• Study Completion: 2023-12

Recruitment & Eligibility

• Status: WITHDRAWN
• Sex: All
• Target Recruitment: Not specified

Inclusion Criteria

• Older adults ≥ 65 years who are discharged home (community dwelling) from ULHG with a referral to the MDCIT service between December 2022 and June 2023 will be deemed eligible for recruitment

Exclusion Criteria

• Those aged < 65 years discharged home from ULHG and referred to the MDCIT service
• Those deemed to not have decision making capacity to provide informed consent

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Functional Ability	This will be measured at 180 days.	Function will be measured using the Barthel Index (BI). The BI scores a patient from 0-20, with a higher score indicating greater independence.

Secondary Outcome Measures

Name	Time	Method
Unscheduled ED Attendance(s)	This will be measured at 180 days.	ED software will be searched to identify ED attendances.
Nursing Home Admission(s)	This will be measured at 180 days.	Hospital software will be searched to identify patients admitted to nursing homes.
Mortality	This will be measured at 180 days.	Hospital software will be searched to identify patients who pass away.
Frailty Score	This will be measured at 180 days.	Frailty will be measured using the Clinical Frailty Scale (CFS). The CFS screens for frailty in older adults, with a minimum score of 1 considered least frail and a maximum score of 9 indicating severe frailty.
Quality of Care	This will be measured at 1800 days.	Quality of Care will be measured using the Patient Assessment of Integrated Elderly Care. Patients are asked 20 questions across a Likert scale from 'none at all' to 'always.'
Unscheduled Hospital Admission(s)	This will be measured at 180 days.	ED and hospital software will be searched to identify admissions.
Patient Quality of Life	This will be measured at 180 days.	Quality of Life will be measured using the EQ-5D-5L. This questionnaire asks a patient to rate their overall perceived health from a scale of 0-100 (0 = very poor; 100 = excellent).

Trial Locations

Locations (1)

University Hospital Limerick; 🇮🇪 Limerick, Ireland