Early Geriatric Follow-up in Older Acute Medical Patients

NCT02664948 | Completed

• 1 other identifier: G-TOP-2015
• Study Type: interventional
• Target: 2,362
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Geriatric Disorder

Keywords

early follow-up; geriatrics

Outcome Measures

Primary Outcomes (1)

• Readmission (acute)

  Number of patients readmitted within 30 days after discharge from hospital

  Outcome measure will be assessed as up to 30 days after discharge.(N=1330)

Secondary Outcomes (6)

• Length of hospital stay

  Outcome measure will be calculated from the date of hospital admission and up to date of discharge or date of death during hospital stay whichever came first, assessed up to 6 months (N=1330)

• Mortality

  Outcome measure will be assessed as up to 90 days after admittance to hospital (2076)

• Patient satisfaction in a sub-group (173 patients)

  Outcome measure will be assessed as up to 30 days after discharge

• Health costs per patient

  Outcome measure will be assessed from admission as up to 30 days after discharge

• Causes of acute readmission

  Outcome measure will be assessed up to 30 days after discharge

Other Outcomes (1)

• Avoidable readmissions

  June 2014-November 2015 (N=216)

Study Arms (2)

Intervention group

EXPERIMENTAL

Early geriatric follow-up after discharge from hospital in the patient's home

Procedure: Early geriatric follow-up after discharge

Control group

NO INTERVENTION

Usual care with follow-up home-visits conducted by home care and the GP after discharge, if they consider it as necessary

Interventions

Early geriatric follow-up after discharge PROCEDURE

Multidisciplinary assessement and intervention by physician, nurse and physiotherapist

Intervention group

Eligibility Criteria

• Age: 75 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• older patients aged 75 years or more
• admitted to Emergency Department
• one of following acute illnesses: pneumonia, delirium, dehydration, urinary tract infection, anemia, constipation, and other infection

You may not qualify if:

• state of terminal illness
• living outside the municipality of the hospital
• followed by other geriatric specialist teams
• included in the study within the last 30 days
• transferred to another hospital department

Sponsors & Collaborators

• University of Aarhus: lead

Study Sites (1)

Research Unit, Geriatric Department, Aarhus University Hospital

Aarhus, Central Jutland, 8000, Denmark

Location

Study Officials

• Else Marie Damsgaard, Professor

  Aarhus University Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 17, 2015
• First Posted: January 27, 2016
• Study Start: June 1, 2014
• Primary Completion: December 1, 2016
• Study Completion: December 1, 2016
• Last Updated: May 1, 2019

Record last verified: 2015-12

Data Sharing

• IPD Sharing: Will not share

Locations

DK (1)