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Completed

NCT Number: NCT01285869

Impact of a Multidimensional Intervention in Elderly Patients With Pneumonia

The hypothesis of this study is that long-term outcome in elderly patients admitted with the diagnosis of community-acquired pneumonia (CAP) or healthcare-associated pneumonia (HCAP) would improve with a multidimensional intervention including assessment of co-morbidities, nutritional, functional and cognitive status and immunization.

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Key information

Conditions

Community-Acquired Pneumonia Community-Acquired Infections Cross Infection Disease Attributes Healthcare-Associated Pneumonia Iatrogenic Disease Infections Lung Diseases Pathologic Processes Pathological Conditions, Signs and Symptoms Pneumonia Respiratory Tract Diseases Respiratory Tract Infections

Age range

65 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Hospital de la Santa Creu i Sant Pau

Barcelona, 08025, Spain

About this study

Detailed description published in "Revista Española de Geriatría y Gerontología" (see citation and link)

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Elderly patients (aged 65 years and over), of either sex, not dependent for basic activities of daily living (Barthel index ≥60 points).
  • Diagnosed with community-acquired pneumonia at the Emergency Department or Day Hospitals at "Hospital de la Santa Creu I Santa Pau"
  • Admitted to hospital.

Exclusion criteria

  • Derived from other acute care hospitals.
  • Patients with HIV infection.
  • Neutrophil counter<1000/mm3
  • Transplanted patients.
  • Barthel index<60 points.
  • Terminal disease.
  • No signed informed consent.

Treatment and study plan

Multidimensional intervention

Other

The patient will be cited 2 months after hospital discharge for a geriatric evaluation carried out by a geriatric nurse and an internist with geriatric training. The duration of the first visit is 45-60 minutes. The visit consists of: 1. Assessment of the pneumonia resolution, co-morbidities, aspiration risk, risk of multiresistant infections, and the immunization, functional and cognitive status. 2. An individualized intervention plan. The patient and family or caregiver will receive an educational intervention, a written report with the planned intervention and an educational leaflet. Those patients who require further assessment or follow up of the intervention will receive 1 or 2 more visits and all the patients will be cited one year after the first visit.

Other names: Comprehensive geriatric assesment

Primary outcomes

  1. Healthcare resources utilization (readmissions and consultations to hospital and emergency department).

    Time frame: 1 year after hospital admission for pneumonia

    To achieve the variables related to the healthcare resource utilization, computarized medical records will be reviewed and all patients will be followed up by telephone interview one year after discharge.The cause for readmission will be recorded.

Secondary outcomes

  1. Functional status

    Time frame: 1 year after hospital admission for pneumonia

    Data will be obtained by review of medical records and telephone interview one year after discharge.

    Dependency in basic activities of daily living will be scored using the Barthel Index (Mahoney & Barthel. Maryland State Med J 14; 61-65) which measures the capacity to perform ten basic activities and gives a quantitative estimation of the patient level of dependency, scoring to 0 (totally dependent) to 100 (totally independent).

  2. Institutionalization

    Time frame: 1 year after hospital admission for pneumonia

    Data will be obtained by review of medical records and telephone interview one year after discharge.

  3. Survival

    Time frame: 1 year after hospital admission for pneumonia

    Data will be obtained by review of medical records and telephone interview to patient or relatives one year after discharge.

Sponsors and collaborators

Lead sponsor

Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau

Other

Registry information

Official study title

Impact of a Multidimensional Intervention in Elderly Patients With Pneumonia: a Prospective Randomized Controlled Trial.

Acronym: IMIEPAP

Important dates

Study start
2010
Primary completion
2018
Study completion
2018
First posted
Jan 28, 2011
Registry last updated
Feb 26, 2019

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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