Randomized Controlled Trial of Health Care to Elderly Patients.

Asthma Clinical Trial

Official title:

Specialized Treatment and Care Intervention at a Primary Level in a Nursing Home Compared to Conventional Treatment at a Hospital: a Randomized Controlled Trial.

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00235404
• Other study ID #: REK 037-03
• Status: Completed
• Phase: N/A
• First received: October 7, 2005
• Last updated: July 28, 2016
• Start date: September 2003
• Est. completion date: May 2005

Study information

• Verified date: July 2016
• Source: Norwegian University of Science and Technology
• Contact: n/a
• Is FDA regulated: No
• Health authority: Norway: Norwegian Social Science Data Services
• Study type: Interventional

Clinical Trial Summary

To study the efficacy of multicomponent treatment and care for patients with acute illness or deterioration of a chronic disease at a nursing home in primary health care compared to traditional treatment at hospital.

Description:

Managers at St. Olavs University Hospital and the City of Trondheim local authority decided in 2001 to establish a reinforced department at a nursing home with a multicomponent approach to patient treatment.

In the study treatment at a nursing home will be compared with conventional treatment in ordinary hospital beds in medical, surgical and orthopedic departments at a hospital. Participating doctors at the hospital together with general practitioners shall develope inclusion criteria through Delphi technique. Eligible participants will be hospitalized from their ordinary home and expected to return to home after treatment. When an eligible patient is identified and accepted for inclusion, randomization will be performed by the Clinical Research Department at the Faculty of Medicine.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 142
• Est. completion date: May 2005
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 60 Years to 100 Years

Eligibility

Inclusion Criteria:

• Participating doctors at the hospital together with general practitioners shall develope inclusion criteria through Delphi technique.

Exclusion Criteria:

• Participating doctors at the hospital together with general practitioners shall develope exclusion criteria through Delphi technique.

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment

Related Conditions & MeSH terms

• Angina Pectoris
• Asthma
• Congestive Heart Failure
• Fractures
• Heart Failure
• Pneumonia

Intervention

Other:
• Multicomponent treatment
Specialized care in preparing recharge to home
• usual care
Usual recharge directly from hospital to home

Locations

Country	Name	City	State
Norway	Faculty of Medicine, The Norwegian University of Science and Technology (NTNU)	Trondheim

Sponsors (2)

Lead Sponsor	Collaborator
Norwegian University of Science and Technology	Central Norway Regional Health Authority

Country where clinical trial is conducted

Norway, 

References & Publications (3)

Garåsen H, Magnussen J, Windspoll R, Johnsen R. [Elderly patients in hospital or in an intermediate nursing home department--cost analysis]. Tidsskr Nor Laegeforen. 2008 Jan 31;128(3):283-5. Norwegian. — View Citation

Garåsen H, Windspoll R, Johnsen R. Intermediate care at a community hospital as an alternative to prolonged general hospital care for elderly patients: a randomised controlled trial. BMC Public Health. 2007 May 2;7:68. — View Citation

Garåsen H, Windspoll R, Johnsen R. Long-term patients' outcomes after intermediate care at a community hospital for elderly patients: 12-month follow-up of a randomized controlled trial. Scand J Public Health. 2008 Mar;36(2):197-204. doi: 10.1177/14034948 — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Number of readmissions		Within 60 days	No
Primary	Number of deaths		Within 12 months	No
Primary	Need of home nursing services		within 12 months	No
Secondary	Costs		Within 12 months	No