Post-acute Care for Patients With Frailty

Frailty Clinical Trial

Official title:

Integrated Post-Acute Care Program for Frail Elderly

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05452395
• Other study ID #: TPECH-frailty
• Status: Completed
• Phase: N/A
• Start date: June 19, 2020
• Est. completion date: December 31, 2020

Study information

• Verified date: July 2022
• Source: Taipei City Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Acute illness could be enormous stress for frail people. Combining comprehensive geriatric assessment and multifactorial intervention has positive effects on frail community older adults. However, few studies investigated the effects of post-acute care (PAC) in frail older patients who just recovered from acute hospitalization. This study aimed to evaluate the effects of PAC on frail older adults in Taiwan.

Description:

Frail patients aged >= 75 were recruited and divided into PAC or control groups. The PAC group received comprehensive geriatric assessment (CGA) and multifactorial intervention for two to four weeks. The control group received CGA only. The primary outcomes were 90-day emergency room visits, readmissions, and mortality after PAC.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 254
• Est. completion date: December 31, 2020
• Est. primary completion date: December 31, 2020
• Accepts healthy volunteers: No
• Gender: All
• Age group: 75 Years and older

Eligibility

Inclusion Criteria:

1. Mild to severe frailty identified by the Clinical Frailty Scale

2. Age = 75 years

3. Diagnosis with Parkinson's disease, dementia, chronic obstructive pulmonary disease, or chronic kidney disease stage three or worse

4. Acute hospital stays between 3 to 30 days with deconditioning

5. Stable medical condition with no need of intensive care, laboratory examination, or oxygen dependence

Exclusion Criteria:

1. Refused to participate in the program

2. Candidate for other post-acute care programs (i.e. stroke, traumatic neurological injury, or fracture)

3. Unable to cooperate with the program due to mental or cognitive impairment

4. Long-term ventilator-dependence

5. Long-term bed-ridden status (> 6 months)

6. Diagnosed as end of life and in need of palliative care

7. Diagnosed as major illness (i.e. end-stage renal disease) and in need of frequent inpatient treatment ( > 3 times over recent 6 months)

8. Institutional residents

9. Home medical care participants

Related Conditions & MeSH terms

• Frailty

Intervention

Other:
• Post-acute care
A personalized care program, focusing on managing geriatric syndromes and improving functional performances. Strength training, activities of daily living (ADL) and instrumental activities of daily living (IADL) practice, basic mobility training, reconditioning exercise, and home environment assessment and modification.

Locations

Country	Name	City	State
Taiwan	Taipei City Hospital	Taipei City

Sponsors (1)

Lead Sponsor	Collaborator
Taipei City Hospital

Country where clinical trial is conducted

Taiwan, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	90-day emergency room visits	Emergency room visits after post-acute care	90 days after post-acute care
Primary	90-day readmissions	Readmissions visits after post-acute care	90 days after post-acute care
Primary	90-day mortality	Mortality after post-acute care	90 days after post-acute care