Impact of Chronic Disease Control and Aging Psychology on Outcomes of Frailty-Sarcopenia Syndrome in Ambulatory Geriatric Patients

Pursuant to our previous longitudinal study (ClinicalTrials.gov ID: NCT02073370) in geriatric outpatients cooperated with the Department of Family Medicine, Department of Geriatrics and Gerontology, National Taiwan University Hospital, this study will be conducted to examine the impacts of the specific co-morbidities and ageing psychology on the outcomes of frailty/sarcopenia syndrome. The thresholds of specific chronic disease will be reviewed after frailty being considered in the elderly with co-morbidity condition. In addition, the conceptual framework and corresponding measuring instrument of "mental frailty" will be expected developed.

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Key information

Conditions

Ambulatory Geriatric Outpatients at High Risk of Frailty Atrophy Frailty Muscular Atrophy Nervous System Diseases Neurologic Manifestations Neuromuscular Manifestations Pathologic Processes Pathological Conditions, Anatomical Pathological Conditions, Signs and Symptoms Sarcopenia Signs and Symptoms

Age range

65 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

National Taiwan University Hospital

Taipei, 100, Taiwan

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

compatible one of following conditions

functional decline in recent one year
cognitive function decline
depressive symptom
mobility impairment
fall in recent one year
eating or feeding problems/weight loss
co-morbid conditions≧5
tracking by different physician ≧3 in recent half year
polypharmacy≧8 in recent 3 months
hospitalization ≧1 in recent one year
emergency visits≧2 in recent one year
aged ≧ 80

Exclusion criteria

non-ambulatory (bed-ridden) patients
long-term residents at nursing homes
patients with a life expectancy shorter than six months
impairment in vision, hearing, or communicative ability
making convenience of clinical evaluation during the study period impossible.

Treatment and study plan

Primary outcomes

Operation instrument of mental frailty for older adults

Time frame: Up to 2 years

The psychological adaptation to aging is a dynamic process. The dynamic process and the Selection-Optimization-Compensation process will have their effect on the actual coping actions in everyday life. The instruments will be set up to evaluate the aging psychology process

Secondary outcomes

Compare the well chronic disease control and inappropriate condition on the dynamic frail transitions in ambulatory geriatric outpatients

Time frame: up to 4 years

The records of chronic disease control status of the same ambulatory geriatric outpatients from previous study, "Clinical evaluation, biomarkers and metabolomics of sarcopenia in frail older adults at ambulatory clinics", will be linked to this study.

Sponsors and collaborators

Lead sponsor

National Taiwan University Hospital

Other

Registry information

Important dates

Study start: 2014
Primary completion: 2016
Study completion: 2016
First posted: Jun 10, 2014
Registry last updated: Nov 10, 2016

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.

Published trials that share one or more normalized conditions with this study.

Completed