Impact of a Multidimensional Intervention in Elderly Patients With Pneumonia: a Prospective Randomized Controlled Trial.
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Community-acquired Pneumonia
- Sponsor
- Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau
- Enrollment
- 314
- Locations
- 1
- Primary Endpoint
- Healthcare resources utilization (readmissions and consultations to hospital and emergency department).
- Status
- Completed
- Last Updated
- 7 years ago
Overview
Brief Summary
The hypothesis of this study is that long-term outcome in elderly patients admitted with the diagnosis of community-acquired pneumonia (CAP) or healthcare-associated pneumonia (HCAP) would improve with a multidimensional intervention including assessment of co-morbidities, nutritional, functional and cognitive status and immunization.
Detailed Description
Detailed description published in "Revista Española de Geriatría y Gerontología" (see citation and link)
Investigators
Eligibility Criteria
Inclusion Criteria
- •Elderly patients (aged 65 years and over), of either sex, not dependent for basic activities of daily living (Barthel index ≥60 points).
- •Diagnosed with community-acquired pneumonia at the Emergency Department or Day Hospitals at "Hospital de la Santa Creu I Santa Pau"
- •Admitted to hospital.
Exclusion Criteria
- •Derived from other acute care hospitals.
- •Patients with HIV infection.
- •Neutrophil counter\<1000/mm3
- •Transplanted patients.
- •Barthel index\<60 points.
- •Terminal disease.
- •No signed informed consent.
Outcomes
Primary Outcomes
Healthcare resources utilization (readmissions and consultations to hospital and emergency department).
Time Frame: 1 year after hospital admission for pneumonia
To achieve the variables related to the healthcare resource utilization, computarized medical records will be reviewed and all patients will be followed up by telephone interview one year after discharge.The cause for readmission will be recorded.
Secondary Outcomes
- Functional status(1 year after hospital admission for pneumonia)
- Survival(1 year after hospital admission for pneumonia)
- Institutionalization(1 year after hospital admission for pneumonia)