Frail Elderly People Clinical Trial
Official title:
Continuum of Care, From the Emergency Ward to Living at Home - Implementation and Evaluation of an Intervention for Frail Elderly People
The present study "Continuum of care for frail elderly people" form part of the research
programme "Support for frail elderly persons - from prevention to palliation"
(www.vardalinstitutet.net) which comprises research into three interventions. The program
comprises interventions addressing frail elderly people in different phases of the
disablement process, from elderly people who are beginning to develop frailty to very frail
elderly people receiving palliative care.
The intervention "Continuum of care for frail elderly people" addresses elderly people who
are frail and that have a great risk of high health care consumption. The hypothesis is that
an intervention program for frail elderly people can reduce the number of visits to the
emergency department, increase the life satisfaction and maintain the functional ability.
The intervention, including an early geriatric assessment at the emergency department, early
family support, a case manager in the community with a multi-professional team and active
follow-up by the case manager, contributes to early recognition of the elderly people's need
of information, care and rehabilitation and of informal caregivers' need of information. It
enhances the transfer of information and integrates the care between different caregivers
and different care levels, thereby better recognize frail elderly people's needs.
Specifically, this study is expected to show that the intervention has a positive effect on
the frail elderly person's functional ability, life satisfaction, satisfaction with health
and social care, and health care consumption.
| Status | Completed |
| Enrollment | 181 |
| Est. completion date | October 2011 |
| Est. primary completion date | June 2010 |
| Accepts healthy volunteers | No |
| Gender | Both |
| Age group | 65 Years and older |
| Eligibility |
Inclusion Criteria: - 80 years and older or 65 to 79 years and having at least one chronic disease and being dependent in at least one activity of daily living Exclusion Criteria: - acute severely sick who immediately needs the assessment of a physician (within ten minutes) - those with diagnosis of dementia (or severe cognitive impairment) - patients in palliative care |
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Supportive Care
| Country | Name | City | State |
|---|---|---|---|
| Sweden | University of Gothenburg | Gothenburg |
| Lead Sponsor | Collaborator |
|---|---|
| Vardalinstitutet The Swedish Institute for Health Sciences | VinnVård |
Sweden,
| Type | Measure | Description | Time frame | Safety issue |
|---|---|---|---|---|
| Primary | Health Care Consumption | Number of hospital days and admission will be analysed | 1 year | No |
| Primary | Dependence in Activities of Daily Living | Changes in number of person dependent in one or more daily activity from baseline to follow-up. | 1 year | No |
| Primary | Satisfaction With Health and Social Care | 1 year | No |
| Status | Clinical Trial | Phase | |
|---|---|---|---|
| Completed |
NCT02834728 -
Frail Elderly Subjects - Evaluation and Follow-Up
|
N/A |