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In Hospital Care and Welfare Standard

NCT01273116 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 404

Last updated 2013-01-23

No results posted yet for this study

Summary

The current organization of hospital care for older patients with complex healthcare needs is of insufficient quality, safety and efficiency. Frail older patients have a higher risk for development of complications and consequently a higher length of hospital stay, a higher risk of functional decline, and higher care needs after discharge. As nearly half of the patients admitted to Dutch hospitals is over 65 years, it is highly necessary to adapt the organization of hospital care to their needs. Besides having introduced the medical specialty geriatrics, hospital management has not started to provide hospital wide healthcare tailored to frail older patients. Therefore, the purpose of this study is to develop and examine the effectiveness of an intervention program for frail older patients admitted to hospital aimed at preventing functional decline and other hospital related negative outcomes.

Conditions

  • Functional Decline and Complications of Frail Older Patients Admitted to Hospital

Interventions

OTHER

CWS in Hospital

Every patient aged ≥70 years will be screened for frailty. (For) every frail patient: * will have a comprehensive (geriatric) assessment using an adapted version of the EasyCare instrument; * a geriatric consultation team will propose/recommend a tailored care and welfare plan, which will be updated at the moment of discharge; * will be discussed at least once in a multidisciplinary meeting; * a structured medication review will be carried out by a geriatrician; * is offered an activation programme by volunteers focusing on improvement of orientation, mobility, social activities or nutrition; * may receive a consult of a geriatrician, if judged necessary; * will receive extra attention on discharge arrangements. Hospital staff will be educated, disease-specific guidelines will be adapted to frail older patients.

Sponsors & Collaborators

  • ZonMw: The Netherlands Organisation for Health Research and Development

    collaborator OTHER

  • Radboud University Medical Center

    lead OTHER

Principal Investigators

  • Marcel GM Olde Rikkert, PhD · Radboud University Medical Center

Study Design

Allocation
NA
Purpose
SUPPORTIVE_CARE
Masking
NONE
Model
SINGLE_GROUP

Eligibility

Min Age
70 Years
Sex
ALL
Healthy Volunteers
No

Timeline & Regulatory

Start
2011-01-31
Primary Completion
2012-07-31
Completion
2013-01-31

Countries

  • Netherlands

Study Locations

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Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT01273116 on ClinicalTrials.gov