Status:
UNKNOWN
Case Management of Complex Pluripathology in Primary Care
Lead Sponsor:
José Ignacio Recio Rodriguez
Collaborating Sponsors:
Consejo General de Colegios Oficiales de Enfermería de España
Instituto Español de Investigación Enfermera
Conditions:
Complex and Chronic Pluripathology
Eligibility:
All Genders
Phase:
NA
Brief Summary
Aims To assess the effect of the implementation of the Community Nurse Case Manager (CNCM) in the care of complex and pluripathological chronic patients (CPCP) with dependence, from Primary Care, on ...
Eligibility Criteria
Inclusion
- Dependent complex and pluripathological chronic patients (CPCP) with associated cardiac and/or respiratory pathologies and/or diabetes mellitus
- Frail ≥1 point
- Require a main caregiver to perform basic activities of daily living (ABVD)
- Barthel ≤60 points and/or grade II or III dependency recognised by Social Services
- Are immobilised at home and/or require social resource management
- Agree to sign (themselves or their legal guardians) the informed consent for participation in the study
Exclusion
- Patients with other pathologies associated with complex pluripathology
- With non-habitual caregivers
- Barthel ≥60 points or grade I dependency recognised by Social Services
- Who reside outside the area assigned to the Garrido Sur and Miguel Armijo health centres despite being assigned to them
Key Trial Info
Start Date :
January 1 2024
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
July 1 2025
Estimated Enrollment :
212 Patients enrolled
Trial Details
Trial ID
NCT06155591
Start Date
January 1 2024
End Date
July 1 2025
Last Update
December 8 2023
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