HEalthy Aging Team Supported Home-care Services (HEAT-YASAM)

NCT05993572 | Unknown

• 1 other identifier: 2023-3-24
• Study Type: observational
• Target: 2,000
• Locations: 1 country
• Sites: 1

Brief Summary

Depending on the YASAM project which was established to home-visit evaluate community-dwelling older adults (80 years of age and over), we aimed to determine the prevalence (prevalence) of geriatric syndromes (dependence, frailty, malnutrition, depression, dementia, comorbidity burden, polypharmacy) in these individuals and to determine possible changes in the follow-up of the patients during the 2-year follow-up period. (HEAVEN trial)

Conditions

Frailty; Dementia; Depression; Malnutrition; Old Age; Debility; Drug Use

Outcome Measures

Primary Outcomes (14)

• Short term Healthy Aging status (mortality)

  Outcomes were evaluated according to the national electronic database.

  1-,3-,6- month

• Short term Healthy Aging status (changes dependency )

  Outcomes were evaluated according to the specific test Katz scales the 1 is minimum and 6 is maximum value for scale, and higher scores mean a better outcome, higher scores mean a better outcome for dependency)

  1-,3-,6- month

• Short term Healthy Aging status (changes in frailty level)

  Outcomes were evaluated according to the specific test (Fraility via Clinical fraility scales the 1 is minimum and 9 is maximum value for scale, and higher scores mean a worse outcome).

  1-,3-,6- month

• Short term Healthy Aging status (changes in nutrition)

  Outcomes were evaluated according to the specific test (MNA scale for nutritional status the 0 is minimum and 14 is maximum value for scale, and higher scores mean a better outcome).

  1-,3-,6- month

• Short term Healthy Aging status (changes in cognitive functions)

  Outcomes were evaluated according to the specific test (cognitive functions with MMSE scale, the 0 is minimum and 30 is maximum value for scale, and higher scores mean a better outcome)

  1-,3-,6- month

• Short term Healthy Aging status (changes in mood)

  Outcomes were evaluated according to the specific test (Outcomes were evaluated according to the specific test ( Yesavage for Depression status the 0 is minimum and 15 is maximum value for scale, and higher scores mean a worse outcome)

  1-,3-,6- month

• Short term Healthy Aging status (changes in mobility status)

  Outcomes were evaluated according to the specific test (Chair stand test higher scores (\>13,5 seconds) means a worse outcome for mobility status).

  1-,3-,6- month

• Long term Healthy Aging status (mortality)

  Outcomes were evaluated according to the national electronic database.

  1- and 2- year

• Long term Healthy Aging status (changes dependency )

  Outcomes were evaluated according to the specific test Katz scales the 1 is minimum and 6 is maximum value for scale, and higher scores mean a better outcome, higher scores mean a better outcome for dependency)

  1- and 2- year

• Long term Healthy Aging status (changes in frailty level)

  Outcomes were evaluated according to the specific test (Fraility via Clinical fraility scales the 1 is minimum and 9 is maximum value for scale, and higher scores mean a worse outcome.)

  1- and 2- year

• Long term Healthy Aging status (changes in nutrition)

  Outcomes were evaluated according to the specific test (MNA scale for nutritional status the 1 is minimum and 14 is maximum value for scale, and higher scores mean a better outcome).

  1- and 2- year

• Long term Healthy Aging status (changes in cognitive functions)

  Outcomes were evaluated according to the specific test (cognitive functions with MMSE scale, the 0 is minimum and 30 is maximum value for scale, and higher scores mean a better outcome).

  1- and 2- year

• Long term Healthy Aging status (changes in mood)

  Outcomes were evaluated according to the specific test ( Yesavage scale for Depression status the 0 is minimum and 15 is maximum value for scale, and higher scores mean a worse outcome).

  1- and 2- year

• Long term Healthy Aging status (changes in mobility status)

  Outcomes were evaluated according to the specific test (Outcomes were evaluated according to the specific test (Chair stand test higher scores (\>13,5 seconds) means a worse outcome for mobility status).

  1- and 2- year

Interventions

Comprehensive Geriatric Assessment DIAGNOSTIC_TEST

Comprehensive Geriatric Assessments include functional status, fraility comorbidity, cognition, mental health, social support, nutrition, and geriatric syndromes

Eligibility Criteria

• Age: 80 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

It is planned to include a total of 6000 individuals in the first phase, which is carried out in 20 centers throughout the province of Balıkesir (rural and central area) and whose coordination center is Balikesir Atatürk City Hospital. In the follow-ups, it is planned to include the whole cohort consisting of individuals over the age of 40 thousand 80, by increasing the number of teams.

You may qualify if:

• years and over older adults
• individuals giving verbal and written consent for the YASAM project

You may not qualify if:

• \<80 years older adults
• those who did not give verbal and written consent for the YASAM project

Sponsors & Collaborators

• Gulhane Training and Research Hospital: lead
• Provincial Health Services Authority British Columbia: collaborator

Study Sites (1)

Balikesir Ataturk City Hospital

Balıkesir, None Selected, 10100, Turkey (Türkiye)

Location

Related Publications (2)

• Katipoglu B, Kocyigit SE, Ergun U, Kocak AO, Aydeniz O, Mert I, Keskin SK. A Community-Based Integrated Healthy Aging Program at a Tertiary Hospital (YASAM) for the Oldest Old Participants May have the Potential to Reduce Emergency Admission: Preliminary Evidence from a Pre-Post-Intervention Study. J Emerg Med. 2025 May;72:112-120. doi: 10.1016/j.jemermed.2024.12.009. Epub 2024 Dec 31.

  PMID: 40316458 DERIVED

• Katipoglu B, Kocyigit SE. Impact of geriatric syndrome burden on healthcare services utilization and mortality among community-dwelling older adults: is it still too late to do something? Eur Geriatr Med. 2025 Jun;16(3):1055-1061. doi: 10.1007/s41999-025-01189-w. Epub 2025 Mar 22.

  PMID: 40120075 DERIVED

MeSH Terms

Conditions

Frailty; Dementia; Depression; Malnutrition

Condition Hierarchy (Ancestors)

Pathologic Processes; Pathological Conditions, Signs and Symptoms; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Neurocognitive Disorders; Mental Disorders; Behavioral Symptoms; Behavior; Nutrition Disorders; Nutritional and Metabolic Diseases

Study Officials

• Bilal Katipoglu

  Gulhane Training and Research Hospital

  STUDY DIRECTOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Target Duration: 2 Years
• Sponsor Type: OTHER GOV
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Study Record Dates

• First Submitted: July 21, 2023
• First Posted: August 15, 2023
• Study Start: June 15, 2023
• Primary Completion: December 1, 2024
• Study Completion: December 1, 2025
• Last Updated: December 6, 2023

Record last verified: 2023-11

Locations

TU (1)