NCT05731362

Brief 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.

Trial Health

30
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Timeline
Completed

Started Jan 2023

Shorter than P25 for all trials

Geographic Reach
1 country

1 active site

Status
withdrawn

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

January 1, 2023

Completed
19 days until next milestone

First Submitted

Initial submission to the registry

January 20, 2023

Completed
27 days until next milestone

First Posted

Study publicly available on registry

February 16, 2023

Completed
4 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2023

Completed
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2023

Completed
Last Updated

November 13, 2023

Status Verified

November 1, 2023

Enrollment Period

5 months

First QC Date

January 20, 2023

Last Update Submit

November 8, 2023

Conditions

AgingHospitalizationFunction

Keywords

older adultsearly supported dischargecohort studyhospitalisedpatient discharge

Outcome Measures

Primary Outcomes (3)

  • 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.

  • 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.

  • 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 Outcomes (16)

  • Frailty Score

    This will be measured at baseline.

  • Frailty Score

    This will be measured at 30 days.

  • Frailty Score

    This will be measured at 180 days.

  • Patient Quality of Life

    This will be measured at baseline.

  • Patient Quality of Life

    This will be measured at 30 days.

  • +11 more secondary outcomes

Interventions

MDCIT InterventionOTHER

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.

Eligibility Criteria

Age65 Years+
Sexall
Healthy VolunteersYes
Age GroupsOlder Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Older adults admitted to general medical and surgical wards, trauma/orthopaedic wards and acute medical assessment units and subsequently discharged home with MDCIT support will be included.

You may qualify if:

  • 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

You may not qualify if:

  • 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

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University Hospital Limerick

Limerick, V94 T9PX, Ireland

Location

Study Officials

  • Cathryn Ryan

    MidWest Community Healthcare

    PRINCIPAL INVESTIGATOR
0

Study Design

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

Study Record Dates

First Submitted

January 20, 2023

First Posted

February 16, 2023

Study Start

January 1, 2023

Primary Completion

June 1, 2023

Study Completion

December 1, 2023

Last Updated

November 13, 2023

Record last verified: 2023-11

Locations

IE(1)