Prediction of Hospital Readmissions in SAPV (Specialised Home Palliative Care) Patients

NCT05082389 | Completed

• 1 other identifier: BO-EK-320072020
• Study Type: observational
• Target: 240
• Locations: 1 country
• Sites: 1

Brief Summary

Specialised outpatient palliative care (German: Spezialisierte ambulante Palliativversorgung, abbreviation: SAPV) aims to support incurably ill or dying people spending their last lifetime at home. Furthermore, a major goal is to prevent unnecessary hospital admissions. However, they occasionally occur for various reasons. This project aims to explore predictors of readmission in terms of structural factors as well as family caregivers' psychological distress. Study Aims

1. 1.Identification of structural predictors and caregiver reported predictors for hospital readmissions.
2. 2.Identification of psychological liabilities of nursing relatives.
3. 3.Developing a concept to support nursing relatives.

Conditions

Palliative Care

Keywords

Patient reported outcome (PRO); family caregivers; specialized palliative home-based care

Outcome Measures

Primary Outcomes (1)

• Circumstances of Unplanned hospital admission

  Hospital admission not intended and/or planned by either professional nor non-professional care givers

  18 months

Secondary Outcomes (6)

• Quality of Life of primary non-professional care-giver

  18 months

• Psychological Distress of primary non-professional care-giver

  18 months

• Anxiety of primary non-professional care-giver

  18 months

• Depressivity of primary non-professional care-giver

  18 months

• Characteristics of the non-professional care-giver

  18 months

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

All patients treated in SAPV University hospital Dresden will be investigated by descriptive statistics. All respective non-professional-caregivers will be asked to take part in the survey. They must meet the aforementioned inclusion criteria and provide informed consent.

You may qualify if:

• adult patients (\>17years)
• with advanced, non-curable disease with limited life expectancy and complex symptoms
• treated by a Specialised Home Palliative Care - team
• providing informed consent

Sponsors & Collaborators

• Technische Universität Dresden: lead
• University Hospital Dresden: collaborator

Study Sites (1)

University Hospital Carl Gustav Carus

Dresden, Saxony, 01307, Germany

Location

Related Publications (13)

• Ullrich A, Ascherfeld L, Marx G, Bokemeyer C, Bergelt C, Oechsle K. Quality of life, psychological burden, needs, and satisfaction during specialized inpatient palliative care in family caregivers of advanced cancer patients. BMC Palliat Care. 2017 May 10;16(1):31. doi: 10.1186/s12904-017-0206-z.

  PMID: 28486962 BACKGROUND

• Gotze H, Brahler E, Gansera L, Schnabel A, Gottschalk-Fleischer A, Kohler N. Anxiety, depression and quality of life in family caregivers of palliative cancer patients during home care and after the patient's death. Eur J Cancer Care (Engl). 2018 Mar;27(2):e12606. doi: 10.1111/ecc.12606. Epub 2016 Nov 17.

  PMID: 27859889 BACKGROUND

• Halkett GKB, Lobb EA, Shaw T, Sinclair MM, Miller L, Hovey E, Nowak AK. Do carer's levels of unmet needs change over time when caring for patients diagnosed with high-grade glioma and how are these needs correlated with distress? Support Care Cancer. 2018 Jan;26(1):275-286. doi: 10.1007/s00520-017-3846-x. Epub 2017 Aug 14.

  PMID: 28808797 BACKGROUND

• Hwang IC, Kim YS, Lee YJ, Choi YS, Hwang SW, Kim HM, Koh SJ. Factors Associated With Caregivers' Resilience in a Terminal Cancer Care Setting. Am J Hosp Palliat Care. 2018 Apr;35(4):677-683. doi: 10.1177/1049909117741110. Epub 2017 Nov 15.

  PMID: 29141459 BACKGROUND

• Spatuzzi R, Giulietti MV, Ricciuti M, Merico F, Fabbietti P, Raucci L, Bilancia D, Cormio C, Vespa A. Exploring the associations between spiritual well-being, burden, and quality of life in family caregivers of cancer patients. Palliat Support Care. 2019 Jun;17(3):294-299. doi: 10.1017/S1478951518000160. Epub 2018 May 11.

  PMID: 29749317 BACKGROUND

• Kobayakawa M, Ogawa A, Konno M, Kurata A, Hamano J, Morita T, Kizawa Y, Tsuneto S, Shima Y, Aoyama M, Miyashita M. Psychological and psychiatric symptoms of terminally ill patients with cancer and their family caregivers in the home-care setting: A nation-wide survey from the perspective of bereaved family members in Japan. J Psychosom Res. 2017 Dec;103:127-132. doi: 10.1016/j.jpsychores.2017.10.012. Epub 2017 Oct 23.

  PMID: 29167039 BACKGROUND

• Roen I, Stifoss-Hanssen H, Grande G, Brenne AT, Kaasa S, Sand K, Knudsen AK. Resilience for family carers of advanced cancer patients-how can health care providers contribute? A qualitative interview study with carers. Palliat Med. 2018 Sep;32(8):1410-1418. doi: 10.1177/0269216318777656. Epub 2018 Jun 1.

  PMID: 29852808 BACKGROUND

• Mehnert A, Lehmann C, Cao P, Koch U. [Assessment of psychosocial distress and resources in oncology--a literature review about screening measures and current developments]. Psychother Psychosom Med Psychol. 2006 Dec;56(12):462-79. doi: 10.1055/s-2006-951828. German.

  PMID: 17160791 BACKGROUND

• Zwahlen D, Hagenbuch N, Carley MI, Recklitis CJ, Buchi S. Screening cancer patients' families with the distress thermometer (DT): a validation study. Psychooncology. 2008 Oct;17(10):959-66. doi: 10.1002/pon.1320.

  PMID: 18203146 BACKGROUND

• Spitzer RL, Kroenke K, Williams JB, Lowe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006 May 22;166(10):1092-7. doi: 10.1001/archinte.166.10.1092.

  PMID: 16717171 BACKGROUND

• Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001 Sep;16(9):606-13. doi: 10.1046/j.1525-1497.2001.016009606.x.

  PMID: 11556941 BACKGROUND

• Downar J, Goldman R, Pinto R, Englesakis M, Adhikari NK. The "surprise question" for predicting death in seriously ill patients: a systematic review and meta-analysis. CMAJ. 2017 Apr 3;189(13):E484-E493. doi: 10.1503/cmaj.160775.

  PMID: 28385893 BACKGROUND

• Hentschel L, Wellesen A, Krause LC, von Havranek M, Kramer M, Hornemann B, Bornhauser M, Schuler U, Schutte K. Predicting unplanned hospital readmission in palliative outpatients (PRePP) - study protocol of a longitudinal, prospective study to identify informal caregiver-related and structural predictors. BMC Palliat Care. 2022 May 2;21(1):62. doi: 10.1186/s12904-022-00955-y.

  PMID: 35501763 DERIVED

Study Officials

• Katharina Schütte, MD

  University Hospital Dresden; Palliative Care Unit

  PRINCIPAL INVESTIGATOR

• Leopold Hentschel, Dipl.-Psych.

  University Hospital Dresden; Department of Psychooncology

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 4, 2021
• First Posted: October 19, 2021
• Study Start: April 12, 2021
• Primary Completion: June 30, 2022
• Study Completion: July 30, 2022
• Last Updated: August 11, 2022

Record last verified: 2022-08

Data Sharing

• IPD Sharing: Will not share

Locations

DE (1)