An ESD Model of Care for Older Adults Admitted to Hospital: a Protocol for a Descriptive Cohort Study

Aging Clinical Trial

Official title:

An Early Supported Discharge Model of Care for Older Adults Admitted to Hospital: a Protocol for a Descriptive Cohort Study

Clinical Trial Details — Status: Withdrawn

Administrative data

• NCT number: NCT05731362
• Other study ID #: 112/2022
• Status: Withdrawn
• Start date: January 2023
• Est. completion date: December 2023

Study information

• Verified date: November 2023
• Source: University of Limerick
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

The MidWest multidisciplinary Community Intervention Teams (MD-CIT) comprise of specialist, healthcare teams that provide a rapid and integrated response to a patient with an acute episode of illness who requires enhanced services/acute intervention for a defined short period of time in the MidWest of Ireland. This is provided in the patient's home, thereby facilitating early discharge from the acute hospital setting.

The investigators are performing an evaluation of the MDCIT service provided to older adults admitted to UL Hospitals Group. The investigators will assess patients in hospital, at 30 days and at a six months.

Recruitment information / eligibility

• Status: Withdrawn
• Enrollment: 0
• Est. completion date: December 2023
• Est. primary completion date: June 2023
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 65 Years and older

Eligibility

Inclusion Criteria:

• Older adults = 65 years who are discharged home (community dwelling) from ULHG with a referral to the MDCIT service between December 2022 and June 2023 will be deemed eligible for recruitment

Exclusion Criteria:

• Those aged < 65 years discharged home from ULHG and referred to the MDCIT service

• Those deemed to not have decision making capacity to provide informed consent

Related Conditions & MeSH terms

• Aging
• Function
• Hospitalization

Intervention

Other:
• MDCIT Intervention
The MidWest Multidisciplinary Community Intervention Teams (MDCIT) comprise of specialist, healthcare teams that provide a rapid and integrated response to a patient with an acute episode of illness who requires enhanced services/acute intervention for a defined short period of time. This is provided in the patient's home after an acute hospital admission, thereby facilitating early discharge. The MDCIT intervention is composed of occupational therapy, physiotherapy, and healthcare assistants, with nursing support as required. The MDCIT therapists aim to make their first visit to patients within 24-48 hours of hospital discharge. Patients receive two-three visits per week, over a period of two to four weeks dependant on the patient's rehabilitation needs. Upon discharge from the MDCIT service, patients can be referred to community services as indicated by therapists.

Locations

Country	Name	City	State
Ireland	University Hospital Limerick	Limerick

Sponsors (1)

Lead Sponsor	Collaborator
University of Limerick

Country where clinical trial is conducted

Ireland, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Functional Ability	Function will be measured using the Barthel Index (BI). The BI scores a patient from 0-20, with a higher score indicating greater independence.	This will be measured at baseline.
Primary	Functional Ability	Function will be measured using the Barthel Index (BI). The BI scores a patient from 0-20, with a higher score indicating greater independence.	This will be measured at 30 days.
Primary	Functional Ability	Function will be measured using the Barthel Index (BI). The BI scores a patient from 0-20, with a higher score indicating greater independence.	This will be measured at 180 days.
Secondary	Frailty Score	Frailty will be measured using the Clinical Frailty Scale (CFS). The CFS screens for frailty in older adults, with a minimum score of 1 considered least frail and a maximum score of 9 indicating severe frailty.	This will be measured at baseline.
Secondary	Frailty Score	Frailty will be measured using the Clinical Frailty Scale (CFS). The CFS screens for frailty in older adults, with a minimum score of 1 considered least frail and a maximum score of 9 indicating severe frailty.	This will be measured at 30 days.
Secondary	Frailty Score	Frailty will be measured using the Clinical Frailty Scale (CFS). The CFS screens for frailty in older adults, with a minimum score of 1 considered least frail and a maximum score of 9 indicating severe frailty.	This will be measured at 180 days.
Secondary	Patient Quality of Life	Quality of Life will be measured using the EQ-5D-5L. This questionnaire asks a patient to rate their overall perceived health from a scale of 0-100 (0 = very poor; 100 = excellent).	This will be measured at baseline.
Secondary	Patient Quality of Life	Quality of Life will be measured using the EQ-5D-5L. This questionnaire asks a patient to rate their overall perceived health from a scale of 0-100 (0 = very poor; 100 = excellent).	This will be measured at 30 days.
Secondary	Patient Quality of Life	Quality of Life will be measured using the EQ-5D-5L. This questionnaire asks a patient to rate their overall perceived health from a scale of 0-100 (0 = very poor; 100 = excellent).	This will be measured at 180 days.
Secondary	Quality of Care	Quality of Care will be measured using the Patient Assessment of Integrated Elderly Care. Patients are asked 20 questions across a Likert scale from 'none at all' to 'always.'	This will be measured at 30 days.
Secondary	Quality of Care	Quality of Care will be measured using the Patient Assessment of Integrated Elderly Care. Patients are asked 20 questions across a Likert scale from 'none at all' to 'always.'	This will be measured at 1800 days.
Secondary	Unscheduled ED Attendance(s)	ED hospital databases will be searched to identify ED attendances.	This will be measured at 30 days.
Secondary	Unscheduled ED Attendance(s)	ED software will be searched to identify ED attendances.	This will be measured at 180 days.
Secondary	Unscheduled Hospital Admission(s)	ED and hospital software will be searched to identify admissions.	This will be measured at 30 days.
Secondary	Unscheduled Hospital Admission(s)	ED and hospital software will be searched to identify admissions.	This will be measured at 180 days.
Secondary	Nursing Home Admission(s)	Hospital software will be searched to identify patients admitted to nursing homes.	This will be measured at 30 days.
Secondary	Nursing Home Admission(s)	Hospital software will be searched to identify patients admitted to nursing homes.	This will be measured at 180 days.
Secondary	Mortality	Hospital software will be searched to identify patients who pass away.	This will be measured at 30 days.
Secondary	Mortality	Hospital software will be searched to identify patients who pass away.	This will be measured at 180 days.