Aging Clinical Trial
Official title:
Models of Care in the Transition From the Secondary to the Primary Sector Among the Frailest Elderly +75; a Randomized Controlled Trial
Verified date | April 2021 |
Source | University of Aarhus |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
In most Western countries the elderly population increases rapidly. In Denmark, the population of elderly aged 75 years or older may amount to nearly 15 % of the entire population in 2050 compared to 9 % today (2017). A large part of the elderly population is at high risk of hospitalization including more admissions and increased morbidity and mortality. The number of hospital beds is declining persistently, calling for shorter lengths of stay (LOS). Increasingly complex treatments now take place outside hospital. Presently, many Danish regional hospitals establish geriatric wards and other geriatric in-hospital and outpatient services to overcome these challenges. The aim of the present PhD-study is to investigate the effects of different models of transitional care among the frailest elderly patients.
Status | Completed |
Enrollment | 3340 |
Est. completion date | November 16, 2020 |
Est. primary completion date | September 16, 2020 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 75 Years and older |
Eligibility | Inclusion Criteria - Aged 75 years or older - Living within the municipality of Aarhus (except for the control group, see below) - MPI-score = 2 (moderate frailty) or MPI score = 3 (severe frailty) Exclusion Criteria - Included in any other kind of follow-up schemes - Declared terminally ill or undergoing palliative care at admission - Admitted from one specific temporary nursing home with geriatric medical assistance - Discharge or transfer to another department, including hospice - MPI-score = 1 (low frailty) - Discharged to one specific temporary nursing home with geriatric medical assistance - The patient does not want a visit after discharge |
Country | Name | City | State |
---|---|---|---|
Denmark | Aarhus University | Aarhus |
Lead Sponsor | Collaborator |
---|---|
University of Aarhus |
Denmark,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Physical functional status 30 days after discharge | Functional Recovery Score ADL and Functional Recovery Score I-ADL: sum-score, range 100-0 (100 is the highest physical functional status score possible, 0 is the lowest) | 30 days after discharge | |
Other | Duration of readmission | Duration of readmission | 30 days after discharge | |
Other | Time at home before readmission | Time at home before readmission | 30 days after discharge | |
Other | Number of patients discharged directly from the Emergency Department (ED) | Patients discharged directly from the ED | 30 days after discharge | |
Primary | Readmission | Readmission within 30 days after discharge | 30 days | |
Secondary | Mortality | Mortality within 90 days after admission and 30 days after discharge | 90 days after admission and 30 days after primary discharge | |
Secondary | Length of stay (LOS) | Length of stay during primary admission and total length of stay including following readmissions | 30 days after primary discharge |
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