Clinical trial NCT05731362: An ESD Model of Care for Older Adults Admitted to Hospital: a Protocol for a Descriptive Cohort Study
Official title: An Early Supported Discharge Model of Care for Older Adults Admitted to Hospital: a Protocol for a Descriptive Cohort Study
Study type: OBSERVATIONAL
Overall status: WITHDRAWN
Conditions: Aging
Hospitalization
Function
Keywords: older adults
early supported discharge
cohort study
hospitalised
patient discharge
Lead sponsor: University of Limerick
Sponsor class: OTHER
First posted: 2023-02-16
Enrollment: 0
Sex: ALL
Minimum age (years): 65
Standard ages: OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Older adults admitted to general medical and surgical wards, trauma/orthopaedic wards and acute medical assessment units and subsequently discharged home with MDCIT support will be included.

Brief summary: The MidWest multidisciplinary Community Intervention Teams (MD-CIT) comprise of specialist, healthcare teams that provide a rapid and integrated response to a patient with an acute episode of illness who requires enhanced services/acute intervention for a defined short period of time in the MidWest of Ireland. This is provided in the patient's home, thereby facilitating early discharge from the acute hospital setting.

The investigators are performing an evaluation of the MDCIT service provided to older adults admitted to UL Hospitals Group. The investigators will assess patients in hospital, at 30 days and at a six months.


Eligibility criteria: Inclusion Criteria:

* Older adults ≥ 65 years who are discharged home (community dwelling) from ULHG with a referral to the MDCIT service between December 2022 and June 2023 will be deemed eligible for recruitment

Exclusion Criteria:

* Those aged \< 65 years discharged home from ULHG and referred to the MDCIT service
* Those deemed to not have decision making capacity to provide informed consent

Primary outcomes:
measure: Functional Ability
timeFrame: This will be measured at baseline.
measure: Functional Ability
timeFrame: This will be measured at 30 days.
measure: Functional Ability
timeFrame: This will be measured at 180 days.
Secondary outcomes:
measure: Frailty Score
timeFrame: This will be measured at baseline.
measure: Frailty Score
timeFrame: This will be measured at 30 days.
measure: Frailty Score
timeFrame: This will be measured at 180 days.
measure: Patient Quality of Life
timeFrame: This will be measured at baseline.
measure: Patient Quality of Life
timeFrame: This will be measured at 30 days.
measure: Patient Quality of Life
timeFrame: This will be measured at 180 days.
measure: Quality of Care
timeFrame: This will be measured at 30 days.
measure: Quality of Care
timeFrame: This will be measured at 1800 days.
measure: Unscheduled ED Attendance(s)
timeFrame: This will be measured at 30 days.
measure: Unscheduled ED Attendance(s)
timeFrame: This will be measured at 180 days.
measure: Unscheduled Hospital Admission(s)
timeFrame: This will be measured at 30 days.
measure: Unscheduled Hospital Admission(s)
timeFrame: This will be measured at 180 days.
measure: Nursing Home Admission(s)
timeFrame: This will be measured at 30 days.
measure: Nursing Home Admission(s)
timeFrame: This will be measured at 180 days.
measure: Mortality
timeFrame: This will be measured at 30 days.
measure: Mortality
timeFrame: This will be measured at 180 days.
Other outcomes:
Locations:
city: Limerick
country: Ireland
facility: University Hospital Limerick
Study officials:
affiliation: MidWest Community Healthcare
name: Cathryn Ryan
role: PRINCIPAL_INVESTIGATOR
References: