NCT06481917尚未招募不适用
Feasibility and Effectiveness of a Specialized Home-based Nurse Intervention on the Completion of Advance Care Plans of Patients at High Risk of Death After Discharge From Acute Care Geriatric Departement
Lille Catholic University12 个研究点 分布在 1 个国家目标入组 104 人开始时间: 2024年10月1日最近更新:
适应症
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 104
- 试验地点
- 12
- 主要终点
- Rate of patients remaining in the study
研究概览
简要总结
This study consists to evaluate the feasibility of a case-management intervention of Advance Care Plan (ACP) placement for elderly patients at high risk of death at twelve months discharged alive from acute geriatric medicine.
Feasibility will include the following indicators: rate of patients included and randomized, rate of patients remaining in the study, ACP rates achieved at one month.
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 (Participant)
入排标准
- 年龄范围
- 75 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients aged 75 or over.
- •Affiliated to a social security scheme.
- •Hospitalized in an acute care geriatric department
- •Discharged from hospital to home or residential facilities for dependent elderly people
- •Targeted pathology or at least one incurable disease.
- •At high risk of death in the twelve months following discharge according to the DAMAGE prognostic score (high-risk score group). A high risk of death is defined by a DAMAGE score > 50%.
- •Rockwood Clinical frailty scale score greater than or equal to 7 at one month.
排除标准
- •Refusal to participate in the study expressed by the patient or his/her legal representative, if applicable.
- •Patients transferred to another Medicine-Surgery-Obstetrics department (only "medicine or surgery" in the elderly).
- •Patients transferred to follow-up care and rehabilitation, palliative care, or returning home in palliative care.
- •Patients who have already drawn up advance directives, chosen a trusted support person or discussed their end-of-life wishes with their doctor.
- •Patients with proven severe neuro-cognitive disorders (in the medical record with a Mini-Mental State Examination (MMSE) score below 10 or in the absence of knowledge of the degree of severity and/or a recent previous MMSE score taken in a stable period, the referring practitioner, a geriatrician with expertise in this field, will assess whether the patient is unfit to state his or her advance directives at the time of inclusion.
结局指标
主要结局
Rate of patients remaining in the study
时间窗: 12 months
Rate of included patients
时间窗: 12 months
Advance care planning rate achieved
时间窗: 12 months
次要结局
- Rate of compliance to advance directives(12 months)
- Questionnaire to evaluate the acceptability of the intervention(12 months)
- Hospital Anxiety and Depression Scale (HADS) of caregivers and carers(12 months)
- EQ-5D-3L scale score(12 months)
研究者
研究点 (12)
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