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Completed

NCT Number: NCT05452395

Post-acute Care for Patients With Frailty

Acute illness could be enormous stress for frail people. Combining comprehensive geriatric assessment and multifactorial intervention has positive effects on frail community older adults. However, few studies investigated the effects of post-acute care (PAC) in frail older patients who just recovered from acute hospitalization. This study aimed to evaluate the effects of PAC on frail older adults in Taiwan.

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Key information

Conditions

Frailty Pathologic Processes Pathological Conditions, Signs and Symptoms Retrospective Study

Age range

75 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Taipei City Hospital

Taipei, Taiwan

About this study

Frail patients aged >= 75 were recruited and divided into PAC or control groups. The PAC group received comprehensive geriatric assessment (CGA) and multifactorial intervention for two to four weeks. The control group received CGA only. The primary outcomes were 90-day emergency room visits, readmissions, and mortality after PAC.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Mild to severe frailty identified by the Clinical Frailty Scale
  • Age ≥ 75 years
  • Diagnosis with Parkinson's disease, dementia, chronic obstructive pulmonary disease, or chronic kidney disease stage three or worse
  • Acute hospital stays between 3 to 30 days with deconditioning
  • Stable medical condition with no need of intensive care, laboratory examination, or oxygen dependence

Exclusion criteria

  • Refused to participate in the program
  • Candidate for other post-acute care programs (i.e. stroke, traumatic neurological injury, or fracture)
  • Unable to cooperate with the program due to mental or cognitive impairment
  • Long-term ventilator-dependence
  • Long-term bed-ridden status (> 6 months)
  • Diagnosed as end of life and in need of palliative care
  • Diagnosed as major illness (i.e. end-stage renal disease) and in need of frequent inpatient treatment ( > 3 times over recent 6 months)
  • Institutional residents
  • Home medical care participants

Treatment and study plan

Post-acute care

Other

A personalized care program, focusing on managing geriatric syndromes and improving functional performances.

Strength training, activities of daily living (ADL) and instrumental activities of daily living (IADL) practice, basic mobility training, reconditioning exercise, and home environment assessment and modification.

Primary outcomes

  1. 90-day emergency room visits

    Time frame: 90 days after post-acute care

    Emergency room visits after post-acute care

  2. 90-day readmissions

    Time frame: 90 days after post-acute care

    Readmissions visits after post-acute care

  3. 90-day mortality

    Time frame: 90 days after post-acute care

    Mortality after post-acute care

Sponsors and collaborators

Lead sponsor

Taipei City Hospital

Other Gov

Registry information

Official study title

Integrated Post-Acute Care Program for Frail Elderly

Important dates

Study start
2020
Primary completion
2020
Study completion
2020
First posted
Jul 11, 2022
Registry last updated
Jul 11, 2022

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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