Effect of Functional Assessment and Immediate Rehabilitation of ED Admitted Elderly With Reduced Functional Performance

Functionally-Impaired Elderly Clinical Trial

Official title:

Effect of Functional Assessment and Immediate Rehabilitation of ED Admitted Elderly With Reduced Functional Performance

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02062541
• Other study ID #: SLB-ED-02-2014
• Status: Completed
• Phase: N/A
• First received: February 12, 2014
• Last updated: February 1, 2017
• Start date: June 2015
• Est. completion date: January 2017

Study information

• Verified date: February 2017
• Source: University of Southern Denmark
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Background: Illness and hospitalisation, even of short duration, pose separate risks for permanently reduced functional performance in elderly medical patients. Functional assessment in the acute pathway will ensure early detection of declining performance and form the basis for mobilisation during hospitalisation and subsequent rehabilitation. For optimal results rehabilitation should begin immediately after discharge.

The aim of this study is to investigate the effect of a systematic functional assessment in the emergency departments (ED) of elderly medical patients with reduced functional performance when combined with immediate post-discharge rehabilitation.

Method/design: The study is a two-way factorial randomised clinical trial. Participants will be recruited among patients admitted to the ED who are above 65 years of age with reduced functional performance. Patients will be randomly assigned to one of four groups: 1) functional assessment and immediate rehabilitation; 2) functional assessment and usual rehabilitation; 3) usual assessment and immediate rehabilitation; 4) usual assessment and usual rehabilitation.

Primary outcome: 30-second chair-stand test administered at admission and two weeks after discharge.

We hypothesise that such assessment in the ED or/and immediate rehabilitation will result in sustained or improved performance in comparison to regimen in which neither of these interventions are offered.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 336
• Est. completion date: January 2017
• Est. primary completion date: January 2017
• Accepts healthy volunteers: No
• Gender: All
• Age group: 65 Years and older

Eligibility

Inclusion Criteria:

• medical patients of 65 years of age or older admitted to the ED

• Can speak and understand Danish

• Resident in either of the two included municipalities

• Can report personal data and decide on consent

• Are able to sit on an chair and perform = 9 repetitions at the 30-s. chair-stand test

Exclusion Criteria:

• Patients suffering from a progressive neurological or cognitive deficit or disease.

• Patients ordinarily unable to walk

Related Conditions & MeSH terms

• Functionally-Impaired Elderly

Intervention

Other:
• Funct. assessment+fast rehabilitation

• Funct. assessment+usual rehabilitation

• usual assessment+fast rehabilitation

Locations

Country	Name	City	State
Denmark	Lillebaelt hospital	Kolding

Sponsors (2)

Lead Sponsor	Collaborator
University of Southern Denmark	Sygehus Lillebaelt

Country where clinical trial is conducted

Denmark, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	30-second-chair-stand test		up to 14 days after admission date