Clinical trial NCT00235404: Randomized Controlled Trial of Health Care to Elderly Patients.
Official title: Specialized Treatment and Care Intervention at a Primary Level in a Nursing Home Compared to Conventional Treatment at a Hospital: a Randomized Controlled Trial.
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Congestive Heart Failure
Angina Pectoris
Asthma
Pneumonia
Fractures
Keywords: Treatment of elderly.
Nursing home.
Rehabilitation.
Readmissions.
Lead sponsor: Norwegian University of Science and Technology
Sponsor class: OTHER
Collaborators: name: Helse Nord-Trøndelag HF
First posted: 2005-10-10
Enrollment: 142
Sex: ALL
Minimum age (years): 60
Maximum age (years): 100
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: To study the efficacy of multicomponent treatment and care for patients with acute illness or deterioration of a chronic disease at a nursing home in primary health care compared to traditional treatment at hospital.

Detailed description: Managers at St. Olavs University Hospital and the City of Trondheim local authority decided in 2001 to establish a reinforced department at a nursing home with a multicomponent approach to patient treatment.

In the study treatment at a nursing home will be compared with conventional treatment in ordinary hospital beds in medical, surgical and orthopedic departments at a hospital. Participating doctors at the hospital together with general practitioners shall develope inclusion criteria through Delphi technique. Eligible participants will be hospitalized from their ordinary home and expected to return to home after treatment. When an eligible patient is identified and accepted for inclusion, randomization will be performed by the Clinical Research Department at the Faculty of Medicine.

Eligibility criteria: Inclusion Criteria:

* Participating doctors at the hospital together with general practitioners shall develope inclusion criteria through Delphi technique.

Exclusion Criteria:

* Participating doctors at the hospital together with general practitioners shall develope exclusion criteria through Delphi technique.

Primary outcomes:
measure: Number of readmissions
timeFrame: Within 60 days
measure: Number of deaths
timeFrame: Within 12 months
measure: Need of home nursing services
timeFrame: within 12 months
Secondary outcomes:
measure: Costs
timeFrame: Within 12 months
Other outcomes:
Locations:
city: Trondheim
country: Norway
facility: Faculty of Medicine, The Norwegian University of Science and Technology (NTNU)
Study officials:
affiliation: The Norwegian University of Science and Technology (NTNU)
name: Roar Johnsen
role: STUDY_CHAIR
References:
citation: Garasen H, Windspoll R, Johnsen R. Intermediate care at a community hospital as an alternative to prolonged general hospital care for elderly patients: a randomised controlled trial. BMC Public Health. 2007 May 2;7:68. doi: 10.1186/1471-2458-7-68.
citation: Garasen H, Magnussen J, Windspoll R, Johnsen R. [Elderly patients in hospital or in an intermediate nursing home department--cost analysis]. Tidsskr Nor Laegeforen. 2008 Jan 31;128(3):283-5. Norwegian.
citation: Garasen H, Windspoll R, Johnsen R. Long-term patients' outcomes after intermediate care at a community hospital for elderly patients: 12-month follow-up of a randomized controlled trial. Scand J Public Health. 2008 Mar;36(2):197-204. doi: 10.1177/1403494808089685.