Status:
ACTIVE_NOT_RECRUITING
The Impact of Domiciliary Versus 'Hub' Based Comprehensive Geriatric Assessment on Clinical and Process Outcomes Among Older Adults Attending Community Specialist Teams: a Randomised Controlled Trial.
Lead Sponsor:
University of Limerick
Conditions:
Frailty
Comprehensive Geriatric Assessment
Eligibility:
All Genders
75+ years
Phase:
NA
Brief Summary
The investigators plan to implement a randomised controlled trial to examine the impact of domiciliary (home based) versus 'hub-based' Comprehensive Geriatric Assessment (CGA) on clinical and process ...
Detailed Description
CGA is defined as a "multidimensional interdisciplinary diagnostic process focused on determining a frail elderly person's medical, psychological and functional capability in order to develop a coordi...
Eligibility Criteria
Inclusion
- Referred to the CST hub from a General Practitioner (urgent referral) or from the ED at University Hospital Limerick.
- All of criteria 1-5 must be met
- 75 years and over
- Evidence of frailty, scoring between 4 and 6 on the Rockwood Clinical Frailty Scale (pre-frail, mildly frail or moderately frail)
- Resides within CHO 3 and the catchment area of the relevant ICPOP hub
- Patient has been assessed in-person by the referrer
- Patient has not had MDT input within the last three months (excluding OPTIMEND team)
- And any one of criteria 6-10 must be met:
- Fall within the last month unrelated to acute cardiac or neurological cause \& no previous falls assessment
- Increased dependency or increased carer burden in the last month
- A deterioration in swallow in the last month including symptoms of recurrent chest infections, weight loss, coughing when eating/drinking, self-modifying diet secondary to difficulties
- Adverse drug reaction within the last month excluding allergic reaction Referred from ED/AMU following review by consultant in Emergency Medicine, Acute Medicine, Geriatric Medicine, General Medicine or Frailty at the Front Door team
Exclusion
- Present with an acute neurological or cardiovascular event
- Are more appropriate to an alternative care pathway or service e.g. primary care or geriatric medicine clinic
- Present with injuries, unless the injury has already been appropriately managed,
- Are experiencing an acute medical illness requiring treatment in an acute hospital setting
- If care is being provided by other health care professionals at the time of referral and it is apparent that they are working to meet goals aligned with the current service
- They require investigation or treatment not available in the relevant ICPOP hub (unless these investigations are already being arranged elsewhere)
- They have had MDT input in the last three months
- Have confirmed or suspected Covid-19 infection
- Or other exclusions at the discretion of the integrated care team based on clinical expertise and available resource.
Key Trial Info
Start Date :
January 15 2024
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
July 31 2026
Estimated Enrollment :
106 Patients enrolled
Trial Details
Trial ID
NCT06205238
Start Date
January 15 2024
End Date
July 31 2026
Last Update
August 20 2025
Active Locations (1)
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1
Community Specialist Team Hub
Limerick, Munster, Ireland