NL-OMON43141已完成不适用
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
适应症
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 143
研究概览
简要总结
暂无简介。
研究设计
- 研究类型
- Interventional
入排标准
- 年龄范围
- 18 至 99（—）
入选标准
- •> 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)
排除标准
- •- 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
研究者
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Hospital at home care for older patients with cognitive impairment and an acute medical illnessNL-OMON22701niversity of Groningen, University Medical Center Groningen, University Center for Geriatric Medicine, Groningen, The Netherlands143
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