Clinical trial NCT01457300: Outcome of Rehabilitation of Older People in Primary Health Care
Official title: Outcome of Multi-Disciplinary, Structured Rehabilitation of Older People in an Inpatient District Rehabilitation Centre Versus Standard Primary Health Care Rehabilitation - An Open Comparative Observational Stdy
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Stroke
Hip Fractures
Osteoarthritis
Chronic Disease
Keywords: Rehabilitation outcome
Aged
Aged, 80 and over
Activities of daily living
Lead sponsor: University of Oslo
Sponsor class: OTHER
Collaborators: name: Norwegian Medical Association
First posted: 2011-10-21
Enrollment: 302
Sex: ALL
Minimum age (years): 65
Standard ages: OLDER_ADULT
Accepts healthy volunteers: no
Observational model: CASE_CONTROL
Time perspective: PROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: The Study Populations were Disabled Older People (=\>65years), with a need for Rehabilitation either Post-Acute after Hospitalisation or admitted Directly from their Own Homes and living within the Geographically small County of Vestfold, Norway.

Brief summary: The Outcome of Multi-Disciplinary, Structured Rehabilitation of Older People in a District Inpatient Rehabilitation Centre is better than in a Standard Primary Health Care Rehabilitation Programme in Short Term Beds in Nursing Homes.


Eligibility criteria: Inclusion Criteria:

* Both Genders
* Age=\>65 Years
* Diagnoses: Stroke, Hip Fractures, Osteoarthritis, Chronic, slowly progressing Diseases, Functional Decline due to Old Age, Functional Decline due to Long Hospital Stay
* Assessed to have a Rehabilitation Potential

Exclusion Criteria:

* Age\<65 Years
* Patietns with Highly Progressive Diseases
* Sunnaas ADL Index\<10
* MMSE\<18
* Deeply Depressed Patients with no Initiative
* Patients with Speech Dyspnoea
* Patients with unstable Angina Pectoris
* Patients with not diagnosed Cardiac Arrythmias

Primary outcomes:
measure: Change in Sunnaas ADL Index
timeFrame: Change from Baseline in Sunnaas ADL Index at End of Rehabilitation. Change from End of Rehabilitation in Sunnaas ADL Index at 3 months. Change from End of Rehabilitation in Sunnaas ADL Index at 18 Months
Secondary outcomes:
measure: Change in Umea Life Satisfaction Checklist
timeFrame: Change from End of Rehabilitation in Umea Life Satisfaction Checklist at 3 Months after Rehabilitation.
measure: Mini Mental Status Evaluation=MMSE
timeFrame: MMSE Recorded Two Weeks into Rehabilitation
measure: Symptom Check List 10=SCL10
timeFrame: SCL10 recorded at two Weeks into Rehabilitation
measure: Home Care Services
timeFrame: Change from End of Rehabilitation in Home Care Services at Three Months after Rehabilitation
measure: Informal Care from Relatives
timeFrame: Change in Informal Care from relatives from End of Rehabilitation at Three Months after Rehabilitation
Other outcomes:
Locations:
city: Stavern
country: Norway
facility: Prestelokka Rehabilitation Centre
state: Vestfold
city: Oslo
country: Norway
facility: Department of General Practice/General Practice Research Unit, Institute of Health and Society, University of Oslo
Study officials:
affiliation: University of Oslo
name: Inger Johansen, MD
role: PRINCIPAL_INVESTIGATOR
affiliation: University of Oslo
name: Mette Brekke, MD, PhD
role: STUDY_CHAIR
References:
citation: Johansen I, Lindbaek M, Stanghelle JK, Brekke M. Effective rehabilitation of older people in a district rehabilitation centre. J Rehabil Med. 2011 Apr;43(5):461-4. doi: 10.2340/16501977-0792.
citation: Johansen I, Lindbak M, Stanghelle JK, Brekke M. Independence, institutionalization, death and treatment costs 18 months after rehabilitation of older people in two different primary health care settings. BMC Health Serv Res. 2012 Nov 14;12:400. doi: 10.1186/1472-6963-12-400.