A multi-centre randomised controlled trial to compare the effectiveness of admission avoidance hospital at home with comprehensive geriatric assessment vs. inpatient comprehensive geriatric assessment on the number of frail older people living at home?

niversity of Oxford0 个研究点目标入组 1,055 人开始时间: 2014年10月3日最近更新: 2021年5月3日

适应症

试验速览

2017 protocol in https://doi.org/10.1186/s13063-017-2214-y (added 12/05/2020) 2021 results in https://pubmed.ncbi.nlm.nih.gov/33872045/ (added 20/04/2021) (published 20/04/2021)

•Older patients with frailty who are aged >65 years and who have been referred to the admission avoidance HaH service with CGA and who would otherwise require admission to hospital for an acute medical event. This will include patients presenting with delirium, functional decline, dependence, falls, immobility or a background of dementia presenting with physical disease

•1. Patient with acute coronary syndrome
•2. Patients needing acute surgical assessment
•3. Patients presenting with a suspected stroke
•4. Patients who are receiving end of life care as part of a palliative care pathway
•5. Patients who refuse the HaH service
•6. Patients considered by the clinical staff to be too high risk for home based care, for example those who are physiologically unstable, who are at risk to themselves or if the carer reports HaH care would not be acceptable (in keeping with existing clinical practices for HaH)
•7. The presence of a carer will not be a requirement for enrolment and will depend on the individual circumstances of the patient; this will be at the discretion of the clinician responsible for the patient (as is current clinical practice in each centre)

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