Intravenous Treatment in Nursing Homes (3IV)
|Study Design:||Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
|Official Title:||Can a Structured Training Program in Intravenous Treatment of Infections in Nursing Homes Lead to a Better Patient Trajectory and Reduced Hospital Admittance?|
- All cause morbidity and mortality [ Time Frame: Within 30 days after disease onset ] [ Designated as safety issue: Yes ]
- Number of admissions and days in hospitals among nursing home residents [ Time Frame: Primarily within 30 days after disease onset ] [ Designated as safety issue: Yes ]
- Patient trajectory [ Time Frame: Primarily within 30 days after disease onset ] [ Designated as safety issue: Yes ]
- Satisfaction in patients, next of kin and staff [ Time Frame: Primarily within 30 days after disease onset ] [ Designated as safety issue: Yes ]
|Study Start Date:||November 2009|
|Study Completion Date:||December 2012|
|Primary Completion Date:||December 2012 (Final data collection date for primary outcome measure)|
No Intervention: Usual care
Nursing home residents who require intravenous fluids and intravenous antibiotics was treated as usual (hospital admissions for intravenous treatment).
In control nursing homes that had not completed the training program (intervention period), nursing home residents who require intravenous fluids and intravenous antibiotics was treated as usual. The majority of these patients were admitted to hospital for intravenous treatment. A few nursing homes or nursing home departments had sufficient expertise and capacity to provide treatment locally.
A training program in iv treatment
A structured training program in intravenous treatment in nursing homes:
Each of 30 participating nursing homes sequentially received theory and practical training in intravenous treatment. In nursing homes that had completed the training program (intervention period), and had sufficient expertise and capacity, nursing home residents in need of intravenous fluids or antibiotics were treated locally; otherwise they were hospitalized.
Other: A structured training program
A structured training program in nursing homes in the intravenous treatment of dehydration and infections.
- Can a structured training program in administration of intravenous fluids and antibiotics lead to a reduced number of admissions and days in hospitals among nursing home residents?
- Can treatment with intravenous fluids or antibiotics in nursing homes provide an equally good or better patient trajectory compared to patients hospitalized for the same treatment? We will look at duration of symptoms, direct and indirect complications, and mortality rates.
- Can treatment costs for the public health service be reduced when patients are treated with intravenous fluids and /or antibiotics in the nursing home instead of being admitted to the hospital?
- Can treatment for dehydration and infections in the nursing home rather than in a hospital provide an equally or better satisfaction in patients, next of kin and staff?
- How are difficult ethical issues handeld by medical staff at the nursing homes and the hospital when nursing home patients receive intravenous treatment?
Please refer to this study by its ClinicalTrials.gov identifier: NCT01023763
|University of Oslo|