A Trial to Reduce Pneumonia in Nursing Home Residents

NCT ID: NCT00975780

Last Updated: 2014-11-20

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

834 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-10-31

Study Completion Date

2012-12-31

Brief Summary

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The purpose of this study is to test the effectiveness of an enhanced oral hygiene protocol in preventing pneumonia among nursing home residents.

Detailed Description

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Conditions

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Pneumonia Lower Respiratory Tract Infection

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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enhanced oral care

Group Type EXPERIMENTAL

Enhanced Oral Care

Intervention Type OTHER

oral brushing plus oral chlorhexidine plus upright feeding positioning

Usual care

The usual oral care provided at the nursing home

Group Type ACTIVE_COMPARATOR

Usual oral care

Intervention Type OTHER

Usual oral care and feeding positioning

Interventions

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Enhanced Oral Care

oral brushing plus oral chlorhexidine plus upright feeding positioning

Intervention Type OTHER

Usual oral care

Usual oral care and feeding positioning

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* long term care resident of nursing home
* residents age \>65
* residents of nursing home for at least one month
* residents having at least one of two modifiable risk factors for pneumonia (i.e., impaired oral hygiene, swallowing difficulty)

Exclusion Criteria

* residents housed in nursing home for short term rehabilitation
* residents who receive nourishment by tube feeding
* residents who have a life expectancy \< 3 months
* residents who have been diagnosed with pneumonia within the previous 6 weeks
* residents who are currently using oral chlorhexidine
* residents who have previously been enrolled in the study
* residents, or their designated proxies, who are unwilling to give informed consent
* residents who have tracheostomy
* residents who are non-english speaking
* residents who the administrator leadership of the home felt were not appropriate for the study
Minimum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute on Aging (NIA)

NIH

Sponsor Role collaborator

Yale University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Vincent J Quagliarello, MD

Role: PRINCIPAL_INVESTIGATOR

Yale University

Mary Tinetti, MD

Role: STUDY_DIRECTOR

Yale University

Manisha Juthani-Mehta, MD

Role: STUDY_DIRECTOR

Yale University

Peter Peduzzi, PhD

Role: STUDY_DIRECTOR

Yale University

Dorothy Baker, PhD

Role: STUDY_DIRECTOR

Yale University

Locations

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Yale University School of Medicine

New Haven, Connecticut, United States

Site Status

Countries

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United States

References

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Juthani-Mehta M, Van Ness PH, McGloin J, Argraves S, Chen S, Charpentier P, Miller L, Williams K, Wall D, Baker D, Tinetti M, Peduzzi P, Quagliarello VJ. A cluster-randomized controlled trial of a multicomponent intervention protocol for pneumonia prevention among nursing home elders. Clin Infect Dis. 2015 Mar 15;60(6):849-57. doi: 10.1093/cid/ciu935. Epub 2014 Dec 16.

Reference Type DERIVED
PMID: 25520333 (View on PubMed)

Other Identifiers

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R01AG030575

Identifier Type: NIH

Identifier Source: secondary_id

View Link

0609001783

Identifier Type: -

Identifier Source: org_study_id