Status:

COMPLETED

Models of Care in the Transition From the Secondary to the Primary Sector Among the Frailest Elderly

Lead Sponsor:

University of Aarhus

Conditions:

Frail Elderly Syndrome

Transitional Care

Eligibility:

All Genders

75+ years

Phase:

NA

Brief Summary

In most Western countries the elderly population increases rapidly. In Denmark, the population of elderly aged 75 years or older may amount to nearly 15 % of the entire population in 2050 compared to ...

Detailed Description

Design Population: The frailest acutely admitted geriatric patients aged +75. Intervention: Early follow-up visits after discharge. Comparison: Usual care follow-up. Outcomes: The primary outcome is r...

Eligibility Criteria

Inclusion

  • Inclusion Criteria
  • Aged 75 years or older
  • Living within the municipality of Aarhus (except for the control group, see below)
  • MPI-score = 2 (moderate frailty) or MPI score = 3 (severe frailty)
  • Exclusion Criteria
  • Included in any other kind of follow-up schemes
  • Declared terminally ill or undergoing palliative care at admission
  • Admitted from one specific temporary nursing home with geriatric medical assistance
  • Discharge or transfer to another department, including hospice
  • MPI-score = 1 (low frailty)
  • Discharged to one specific temporary nursing home with geriatric medical assistance
  • The patient does not want a visit after discharge

Exclusion

    Key Trial Info

    Start Date :

    January 1 2018

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    November 16 2020

    Estimated Enrollment :

    3340 Patients enrolled

    Trial Details

    Trial ID

    NCT03796923

    Start Date

    January 1 2018

    End Date

    November 16 2020

    Last Update

    April 30 2021

    Active Locations (1)

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    1

    Aarhus University

    Aarhus, Denmark