NL-OMON43141
Completed
Not Applicable
Hospital at Home care for elderly patients with cognitive impairment presenting on the emergency department with acute somatic illness and an indication for hospital admission: a randomized feasibility trial - Hospital@Home
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Not specified
- Sponsor
- niversitair Medisch Centrum Groningen
- Enrollment
- 143
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
No summary available.
Investigators
Eligibility Criteria
Inclusion Criteria
- •\> Age \>\= 65yr \> Established dementia, delirium or other cause of cognitive impairment present Previously diagnosed or; Confirmed with the IQCODE\-sf (family) or in a patient by the 4AT\-test31 and/or Short Blessed Test on the ED \> Presentation with a defined acute illness \> Felt to require hospital admission by attending ED physician, but not expected to require emergency interventions MEWS \<\= 2 / VIEWS \< 7 \> Living in hospital catchment area \> Ambulatory ability 24hrs prior to ED presentation \> Informal caregiver present, able to understand and perform instructions \> Appropriate home circumstances (running water, adequate heating, safety)
Exclusion Criteria
- •\- Need for medium or intensive care, based on MEWS\-score and clinician judgment \> Cut\-off value emergency scores: MEWS \>\=3 / VIEWS \>7 \- Need for surgical assessment \- Hospitalized within 7 days preceding ED presentation \- Nursing home residents or awaiting a nursing home place on an active waiting list (excluding so called sleeping waiting list candidates) \- Suspected acute coronary syndrome or cardiac arrythmia \- Dialysis dependent patients \- Expected terminal events or in need of palliative care due to oncological illness \- Acute illness requiring hospital admission independent of the target diagnosis of presentation
Outcomes
Primary Outcomes
Not specified
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