A Protected Discharge Model Using Technology in Multimorbid and Poly-treated Older Subjects

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-05-28

Study Completion Date

2023-10-18

Brief Summary

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The main goal of thi clinical trial is to evaluate if a protected discharge model can reduce the length of hospital stay in older participants aged over 65 years old who have been admitted to the hospital for an acute event and have been considered stable and dischargeable. Participants of the intervention group will be asked to transfer to a small apartment, inside the hospital setting, equipped by technological devices and to be involved in cognitive and physical activities during the stay. Researchers will compare this intervention group with a control group who receive normal clinical practice where older people remain in the hospital ward.

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Detailed Description

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Participants who fit the inclusion criteria are randomized in two arms (intervention or control groups). All of them are evaluated with a comprehensive geriatric assessment (Multidimensional Prognostic Index), a depression scale (Geriatric Depression Scale), quality of Life scale (Short-Form 12 items), and physical parameters (Hand Grip, Short Physical Performance Battery, gait speed). In the intervention group the following clinical parameters will be collected through technological devices: spontaneous physical performance, sleep monitoring, gait speed, quality of movements, heart rate, SpO2, and other vital parameters.

Conditions

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Multimorbid and Poly-treated Older People

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Randomized clinical trial

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Intervention group

Participants are transferred from the hospital ward to a small apartment with a technological assessment and monitoring established inside the hospital setting.

Group Type EXPERIMENTAL

PRO-HOME intervention

Intervention Type DEVICE

Patients are transferred to the apartment inside the hospital setting and are evaluated and assessed also using technological devices

Control group

Participants remain in the hospital ward and receive normal clinical practice.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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PRO-HOME intervention

Patients are transferred to the apartment inside the hospital setting and are evaluated and assessed also using technological devices

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. participants aged 65 years or older;
2. admitted to the acute geriatric units for an acute event;
3. deemed stable and dischargeable from the hospital;
4. good personal autonomy in the Activities of Daily Living (ADL) (according to the Katz ADL scoring≥ 3/6);
5. normal cognition or mild cognitive impairment (Short Portable Mental Status Questionnaire (SPMSQ) ≤ 5/10);
6. signed informed consent