Geriatric-CO-mAnagement for Cardiology Patients in the Hospital
NCT02890927 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 454
Last updated 2020-02-13
Summary
The primary objective of the evaluation study is to determine if geriatric co-management is superior to standard of care in preventing functional decline in older patients admitted for acute heart disease or Transcatheter Aortic Valve Implementation (TAVI) to the cardiology units of the University Hospitals Leuven.
Conditions
- Geriatric Assessment
- Health Services for the Aged
- Cardiovascular Diseases
- Activities of Daily Living
- Delirium
- Frail Elderly
- Length of Stay
Interventions
- OTHER
-
Cardio-geriatric co-management
A comprehensive geriatric assessment on admission will stratify patients in groups: 1. Low risk patients are expected to do well and will not receive co-management. 2. Medium risk patients are expected to develop complications. A geriatric nurse will visit the cardiology wards daily to co-manage these patients aiming to prevent complications by coordinating interdisciplinary care, implementing protocols, perform assessments and bedside education. The geriatric nurse will work collaboratively with the cardiology ward staff based on a shared decision making. Patients will receive early rehabilitation and discharge planning. 3. High risk patients have an acute geriatric syndrome. The geriatric nurse will visit the cardiology wards (see above), and a geriatrician will co-manage the acute geriatric syndrome(s). The geriatrician will work collaboratively with the cardiology ward staff based on a shared decision making. Patients will receive early rehabilitation and discharge planning.
Sponsors & Collaborators
-
KU Leuven
collaborator OTHER -
Universitaire Ziekenhuizen KU Leuven
lead OTHER
Principal Investigators
-
Johan Flamaing, PhD, MD · Universitaire Ziekenhuizen KU Leuven
-
Koen Milisen, PhD, MSN · University of Leuven
-
Mieke Deschodt, PhD, MSN · University of Leuven
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- HEALTH_SERVICES_RESEARCH
- Masking
- NONE
- Model
- SEQUENTIAL
Eligibility
- Min Age
- 75 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2016-09-30
- Primary Completion
- 2018-12-31
- Completion
- 2019-07-31
Countries
- Belgium
Study Locations
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