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Geriatric Disorder clinical trials

View clinical trials related to Geriatric Disorder.

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NCT ID: NCT02949635 Completed - Geriatric Disorder Clinical Trials

Patient Outcomes After Hospitalization in Acute Geriatric Unit

DAMAGE
Start date: September 7, 2016
Phase:
Study type: Observational

Three events can be considered of major importance for patients after a hospitalization in an AGU: death, hospital readmission, and institutionalization. Current published data do not allow the clinician to simultaneously estimate the risk of hospital readmission, institutionalization and death of an older patient according to his/her characteristics and various complications that occurred during the hospitalization. However, clinicians often need to estimate these risks at hospital discharge to adapt their therapeutic choices, their proposals post-hospital care, and provide reliable and fair information to the patient and his relatives. Estimating simultaneously the hazard for each of these three events can be complex. Indeed, a death event hinder the observation of re-hospitalization or institutionalization if death occurs before these events. The death should be considered a competing risk in these analyzes. Hospital readmission may modify the risk of death or institutionalization and should be considered as an intermediate factor for these event. This complexity cannot be accounted with classical statistical models, like logistic regression models. The purpose of this study is to use more appropriate statistical models (multi-state models) to better estimate simultaneously the risks of hospital readmission, institutionalization, and death of a patient given after hospitalization in AGU, and to show that accuracy of these estimations can be improved by taking into account complications that occurred during the stay in AGU.

NCT ID: NCT02928107 Completed - Hearing Loss Clinical Trials

Addressing Barriers to Adult Hearing Healthcare

Start date: October 31, 2016
Phase: N/A
Study type: Interventional

The aim of this project is to develop evidence that can inform hearing health care best practices for adults between the ages of 65-75, and determine what level of involvement by the primary care practitioner (PCP) is required to inform and encourage adults age 65-75 to follow through with routine hearing screening. This study also aims to evaluate the accuracy of assessment of medical conditions for which the FDA requires physician evaluation and management prior to hearing aid fitting, and determine which medical conditions should require medical evaluation prior to hearing aid fitting. The results of this study should provide information to implement changes in health care policy to facilitate accessible and affordable hearing health care.

NCT ID: NCT02841852 Completed - Geriatric Disorder Clinical Trials

Inappropriate Prescribing of Proton-pump Inhibitor is it Associated With the Burden of Comorbidities in Older Patients?

IPP SA
Start date: January 2014
Phase: N/A
Study type: Observational

Proton pump inhibitors (PPIs) are one of the most frequently prescribed classes of drugs in the world and the most effective drugs available to reduce gastric acid secretion. However, studies have shown that PPIs are not always prescribed with a clear indication. Indeed, between 25% and 86% of older individuals taking a PPI have been overprescribed these medications. In older patients, overprescribing of a PPI is associated with increases in morbidity, adverse drug events, hospitalization, and mortality. The hypothesis is that overprescription of PPIs is associated with the individual multimorbidities in older patients evaluated using the multimorbidities group criteria included in the CIRS. The aim of the present study was to establish a relationship between overprescribing of PPIs and multimorbidities in older patients.

NCT ID: NCT02780037 Completed - Geriatric Disorder Clinical Trials

To Motivate Elderly to Move

Start date: February 2016
Phase: N/A
Study type: Interventional

This study examines the short- and long-term-effects of different repeated frames in which an exercise program is offered on behavior (i.e., frequency of exercise) and motivation (i.e., autonomous/controlled) in older people (65+). The frames are manipulated experimentally as either prevention focused (e.g., to prevent worse health), promotion focused (e.g., to gain better health) or neutral (control condition).

NCT ID: NCT02766738 Completed - Geriatric Disorder Clinical Trials

Improving Mobility in Residential Aged Care

Start date: May 2016
Phase: N/A
Study type: Interventional

This study aims to test which of three exercise programs, previously demonstrated valuable for residential aged care adults, has the greatest benefit for walking speed and the spatiotemporal parameters that define it. The programs to be included are: 1. The GrACE program and 2. The GrACE plus Gait specific training.

NCT ID: NCT02737839 Completed - Cancer Clinical Trials

Adaptation of the STEPPING ON Fall Prevention Program for Older Adults Receiving Cancer Therapy

Start date: June 9, 2016
Phase: N/A
Study type: Interventional

Chronic disease self-management is the ability of the individual, in conjunction with family, community and healthcare professionals to manage symptoms, treatments, lifestyle changes and psychosocial, cultural and spiritual consequences associated with a chronic condition. Self-management strategies have been successfully used in supportive care and survivorship in oncology. Stepping On, a multi-component program using a small-group learning environment, reduces falls by 31%. It empowers participants with knowledge about fall-risk, exercise, medications and environmental hazards to self-manage their risk of falls over 7 weeks of educational sessions, followed by a home visit. The research in this proposal will yield the adaptation of the effective group-education-based fall-prevention intervention Stepping On, tailored to cancer patients, feasible for testing in a multi-institutional trial, and ultimately scalable in the oncology setting.

NCT ID: NCT02734381 Completed - Geriatric Disorder Clinical Trials

Prevalence of Presenting Diseases for Elderly Patients Admitted to Emergency Department

Start date: October 2015
Phase: N/A
Study type: Observational

The number of elderly patients admitted to the Emergency Department (ED) is dramatically increasing.

NCT ID: NCT02664948 Completed - Geriatric Disorder Clinical Trials

Early Geriatric Follow-up in Older Acute Medical Patients

Start date: June 2014
Phase: N/A
Study type: Interventional

The study is a quasi-randomized controlled trial conducted in a Danish University Hospital including older patients admitted to Emergency Department (ED). 'Early geriatric follow-up' is a multidisciplinary geriatric service provided to older patients who are discharged to their home. They receive hospital-visits by a multidisciplinary team no later than 24 hours after discharge (except on sundays). The team is consisting of a physician and a nurse both with geriatric expertise. The physician is responsible for the clinical patient care. The team is available seven days per week/12 hours per day and 24 hour on-call. In the patient's home, the team has the possibility to perform diagnosing and treatment by assessments, medication review, blood tests, subcutaneous fluid therapy, blood transfusions, intravenous antibiotics, rehabilitation and social arrangements. A discharge hand-over supports the caregivers and the GP.

NCT ID: NCT02640963 Completed - Sarcopenia Clinical Trials

Feasibility and Benefits of Group Based Exercise in Residential Aged Care Adults

Start date: January 2015
Phase: N/A
Study type: Interventional

This study is a randomised control (feasibility study), which will compare feasibility and efficacy outcomes between a 12-week Exercise Program and control group in RAC residents.

NCT ID: NCT02395718 Completed - Geriatric Disorder Clinical Trials

Acute Medical Admissions of ELDERly Patients (ELDER)

ELDER
Start date: January 2015
Phase: N/A
Study type: Interventional

To evaluate differences in health outcomes among elderly patients (age ≥ 75 years) treated in a Quick Diagnostic Unit (QDU) compared to the Department of Internal Medicine (DIM). A QDU is a medical Short Stay Unit (SSU).