Trial Outcomes & Findings for Longitudinal Outcome in a Veterans Geriatric Multifactorial Falls Assessment Clinic (NCT NCT02356211)

NCT ID: NCT02356211

Last Updated: 2020-03-10

Results Overview

Number of participants who experienced falls in 12 months, based on self-recall and telephone interview.

• Recruitment status: COMPLETED
• Study phase: NA
• Target enrollment: 109 participants
• Primary outcome timeframe: 12 months
• Results posted on: 2020-03-10

Participant Flow

Participant milestones

Measure	Treatment Geriatric Multifactorial Falls Assessment Clinic Multifactorial Falls Assessment: The Geriatric Multifactorial Falls Assessment Clinic is a component of GERIACTRIC-PACT, a frail-elderly primary care patient-centered medical home with care provided by an inter-professional teamlet consisting of a geriatrician, geriatric nurse practitioner, clinical pharmacist, licensed practical nurse, nurse care manager, social worker, and dietitian. GERIATRIC-PACT operates with increased ancillary support compared to Primary Care PACT. Falls assessment patients were referred by primary care providers and were evaluated and treated by the GERIATRIC-PACT teamlet, including ordering of tests and medication adjustment, with an average of two visits and active follow-up for one year.	Control Geriatric Evaluation and Management Service (GEM) The Geriatric Evaluation and Management Service (GEM) is an acute inpatient service with over 150 discharges annually. Frail elderly treated on GEM receive inter-professional geriatric team assessment and treatment while hospitalized. Patients discharged to home return to the care of their primary physicians.
Overall Study STARTED	57	52
Overall Study COMPLETED	54	42
Overall Study NOT COMPLETED	3	10

Reasons for withdrawal

Measure	Treatment Geriatric Multifactorial Falls Assessment Clinic Multifactorial Falls Assessment: The Geriatric Multifactorial Falls Assessment Clinic is a component of GERIACTRIC-PACT, a frail-elderly primary care patient-centered medical home with care provided by an inter-professional teamlet consisting of a geriatrician, geriatric nurse practitioner, clinical pharmacist, licensed practical nurse, nurse care manager, social worker, and dietitian. GERIATRIC-PACT operates with increased ancillary support compared to Primary Care PACT. Falls assessment patients were referred by primary care providers and were evaluated and treated by the GERIATRIC-PACT teamlet, including ordering of tests and medication adjustment, with an average of two visits and active follow-up for one year.	Control Geriatric Evaluation and Management Service (GEM) The Geriatric Evaluation and Management Service (GEM) is an acute inpatient service with over 150 discharges annually. Frail elderly treated on GEM receive inter-professional geriatric team assessment and treatment while hospitalized. Patients discharged to home return to the care of their primary physicians.
Overall Study Withdrawal by Subject	2	2
Overall Study ineligible	1	8

Baseline Characteristics

Longitudinal Outcome in a Veterans Geriatric Multifactorial Falls Assessment Clinic

Baseline characteristics by cohort

Measure	Treatment n=54 Participants Geriatric Multifactorial Falls Assessment Clinic Multifactorial Falls Assessment: The Geriatric Multifactorial Falls Assessment Clinic is a component of GERIACTRIC-PACT, a frail-elderly primary care patient-centered medical home with care provided by an inter-professional teamlet consisting of a geriatrician, geriatric nurse practitioner, clinical pharmacist, licensed practical nurse, nurse care manager, social worker, and dietitian. GERIATRIC-PACT operates with increased ancillary support compared to Primary Care PACT. Falls assessment patients were referred by primary care providers and were evaluated and treated by the GERIATRIC-PACT teamlet, including ordering of tests and medication adjustment, with an average of two visits and active follow-up for one year.	Control n=42 Participants Geriatric Evaluation and Management Service (GEM) The Geriatric Evaluation and Management Service (GEM) is an acute inpatient service with over 150 discharges annually. Frail elderly treated on GEM receive inter-professional geriatric team assessment and treatment while hospitalized. Patients discharged to home return to the care of their primary physicians.	Total n=96 Participants Total of all reporting groups
Age, Categorical <=18 years	0 Participants n=5 Participants	0 Participants n=7 Participants	0 Participants n=5 Participants
Age, Categorical Between 18 and 65 years	0 Participants n=5 Participants	0 Participants n=7 Participants	0 Participants n=5 Participants
Age, Categorical >=65 years	54 Participants n=5 Participants	42 Participants n=7 Participants	96 Participants n=5 Participants
Age, Continuous	77.3 years STANDARD_DEVIATION 8.8 • n=5 Participants	74.1 years STANDARD_DEVIATION 13.1 • n=7 Participants	76.6 years STANDARD_DEVIATION 8.6 • n=5 Participants
Sex: Female, Male Female	1 Participants n=5 Participants	1 Participants n=7 Participants	2 Participants n=5 Participants
Sex: Female, Male Male	53 Participants n=5 Participants	41 Participants n=7 Participants	94 Participants n=5 Participants
Race (NIH/OMB) American Indian or Alaska Native	0 Participants n=5 Participants	0 Participants n=7 Participants	0 Participants n=5 Participants
Race (NIH/OMB) Asian	0 Participants n=5 Participants	0 Participants n=7 Participants	0 Participants n=5 Participants
Race (NIH/OMB) Native Hawaiian or Other Pacific Islander	0 Participants n=5 Participants	0 Participants n=7 Participants	0 Participants n=5 Participants
Race (NIH/OMB) Black or African American	9 Participants n=5 Participants	5 Participants n=7 Participants	14 Participants n=5 Participants
Race (NIH/OMB) White	45 Participants n=5 Participants	37 Participants n=7 Participants	82 Participants n=5 Participants
Race (NIH/OMB) More than one race	0 Participants n=5 Participants	0 Participants n=7 Participants	0 Participants n=5 Participants
Race (NIH/OMB) Unknown or Not Reported	0 Participants n=5 Participants	0 Participants n=7 Participants	0 Participants n=5 Participants
Region of Enrollment United States	54 participants n=5 Participants	42 participants n=7 Participants	96 participants n=5 Participants

PRIMARY outcome

Timeframe: 12 months

Number of participants who experienced falls in 12 months, based on self-recall and telephone interview.

Outcome measures

Measure	Treatment n=55 Participants Geriatric Multifactorial Falls Assessment Clinic Multifactorial Falls Assessment: The Geriatric Multifactorial Falls Assessment Clinic is a component of GERIACTRIC-PACT, a frail-elderly primary care patient-centered medical home with care provided by an inter-professional teamlet consisting of a geriatrician, geriatric nurse practitioner, clinical pharmacist, licensed practical nurse, nurse care manager, social worker, and dietitian. GERIATRIC-PACT operates with increased ancillary support compared to Primary Care PACT. Falls assessment patients were referred by primary care providers and were evaluated and treated by the GERIATRIC-PACT teamlet, including ordering of tests and medication adjustment, with an average of two visits and active follow-up for one year.	Control n=51 Participants Geriatric Evaluation and Management Service (GEM)
Number of Participants Who Experienced Falls	22 Participants	35 Participants

Adverse Events

Treatment

Serious events: 0 serious events

Other events: 0 other events

Deaths: 6 deaths

Control

Serious events: 0 serious events

Other events: 0 other events

Deaths: 12 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

James S. Powers MD, Clinical Associate Director, GRECC

TVHS GRECC, Nashville TN

Phone: 615-873-8032

Email: james.powers2@va.gov

Results disclosure agreements

• Principal investigator is a sponsor employee
• Publication restrictions are in place