Cross-sectorial Patient Participation in Prevention of Loss of Functions in Older Short-stay Medical Patients
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 300
- 试验地点
- 1
- 主要终点
- Number of participants who have been readmitted to hospital
研究概览
简要总结
Randomized Clinical Trial (RCT) To investigate and compare the effect of two preventive interventions on readmission rates, loss of functions, quality of life and cost-benefit.
详细描述
At baseline:
Nutritional status, BMI and weight, depression (GDS5), dementia (MMSE), pain (Verbal Ranking Scale), muscle strength (hand-grip strength, chair-to-stand-test), quality of life (EQ5D), coping (Sense of Coherence 13 item scale), patient experience (NORPEQ), medication management (MedMaide).
At follow-up three months after discharge:
BMI and weight, depression (GDS5), dementia (MMSE), pain (Verbal Ranking Scale), muscle strength (hand-grip strength, chair-to-stand-test) and EQ5D. In addition, need for initiated municipal assistance after discharge. Project employee who performs data collection is blinded to the group to which the patient is randomized.
The control group Patients in the control group undergo the same measurements and registrations at discharge and 3 - month follow-up, as the intervention groups, but receive otherwise usual treatment and care, and are discharged without further intervention. After six months control patients receive a report comprising the screening results, relevant information material and a cover letter. Patients' GP and municipality care section receive a summary of outcomes, as well as a cover letter.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Investigator)
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •65 years or older
- •Living in their own home with no contact to the Municipality, both before and after admission
- •Discharged from Department o105 or the Acute Receiving Unit <48 hours from admission.
排除标准
- •Patients with life-threatening disease in the terminal stage
- •Patients who does not speak and understand Danish
- •Patients who are not able to communicate and collaborate, with regards to the measurements
研究组 & 干预措施
Empowerment
Patients in the intervention group 1 receive a communication report which will also be sent to the physician and home care. In communication report includes the results and interpretation and explanation of the measurements in layman's terms. The report also includes relevant and targeted information on pain management, depression among the elderly, dementia and disability in old age and ways to maintain and improve functional capacity. Links and addresses of relevant, local organizations, and networks are also included. The information material is also included in the report sent to the General Practitioner (GP) and home care.
干预措施: Empowerment (Behavioral)
Conversation with Nurse
Patients in the intervention group 2 gets clarification and follow-up conversation with a nurse anchored in both medical department and municipalities. The nurse is "blinded" in relation to the patient's screening results. Problems identified in connection therewith are communicated to the GP and home care.
干预措施: Conversation with nurse (Other)
Controle Group
Patients in the control group are undergoing the same measurements and records at discharge, as the intervention group, but are otherwise receiving treatment and care as usual without further intervention.
结局指标
主要结局
Number of participants who have been readmitted to hospital
时间窗: 01.03.2013 - 12.31.2014
Number of participants who have been readmitted to hospital. Measured 6 months after admission.
次要结局
- Mortality(01.04.2014 - 31.12.2014)
- Functional ability(31.12.2014)
- Primary Healthcare Services(01.04.2013 - 31.12.2014)
研究者
Tove Lindhardt Damsgaard
Senior Researcher
Herlev Hospital