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Continuum of Care for Frail Elderly People

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ClinicalTrials.gov Identifier: NCT01260493
Recruitment Status : Completed
First Posted : December 15, 2010
Results First Posted : July 15, 2014
Last Update Posted : July 15, 2014
Information provided by (Responsible Party):
Vardalinstitutet The Swedish Institute for Health Sciences

Brief Summary:

The present study "Continuum of care for frail elderly people" form part of the research programme "Support for frail elderly persons - from prevention to palliation" (www.vardalinstitutet.net) which comprises research into three interventions. The program comprises interventions addressing frail elderly people in different phases of the disablement process, from elderly people who are beginning to develop frailty to very frail elderly people receiving palliative care.

The intervention "Continuum of care for frail elderly people" addresses elderly people who are frail and that have a great risk of high health care consumption. The hypothesis is that an intervention program for frail elderly people can reduce the number of visits to the emergency department, increase the life satisfaction and maintain the functional ability. The intervention, including an early geriatric assessment at the emergency department, early family support, a case manager in the community with a multi-professional team and active follow-up by the case manager, contributes to early recognition of the elderly people's need of information, care and rehabilitation and of informal caregivers' need of information. It enhances the transfer of information and integrates the care between different caregivers and different care levels, thereby better recognize frail elderly people's needs. Specifically, this study is expected to show that the intervention has a positive effect on the frail elderly person's functional ability, life satisfaction, satisfaction with health and social care, and health care consumption.

Condition or disease Intervention/treatment
Frail Elderly People Other: integrated health care chain

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 181 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Supportive Care
Official Title: Continuum of Care, From the Emergency Ward to Living at Home - Implementation and Evaluation of an Intervention for Frail Elderly People
Study Start Date : October 2008
Primary Completion Date : June 2010
Study Completion Date : October 2011

Arm Intervention/treatment
No Intervention: Conventional care, controlgroup
conventional care, control group
Experimental: integrated health care chain
integrated health care chain. Geriatric assessment at emergency department (ED), case manager with multiprofessional team in the community, support for informal caregivers
Other: integrated health care chain
Geriatric assessment at ED, case manager with multiprofessional team in the community, support for informal caregivers

Primary Outcome Measures :
  1. Health Care Consumption [ Time Frame: 1 year ]
    Number of hospital days and admission will be analysed

  2. Dependence in Activities of Daily Living [ Time Frame: 1 year ]
    Changes in number of person dependent in one or more daily activity from baseline to follow-up.

  3. Satisfaction With Health and Social Care [ Time Frame: 1 year ]

Information from the National Library of Medicine

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Ages Eligible for Study:   65 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • 80 years and older or 65 to 79 years and having at least one chronic disease and being dependent in at least one activity of daily living

Exclusion Criteria:

  • acute severely sick who immediately needs the assessment of a physician (within ten minutes)
  • those with diagnosis of dementia (or severe cognitive impairment)
  • patients in palliative care

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01260493

University of Gothenburg
Gothenburg, Sweden, 405 30
Sponsors and Collaborators
Vardalinstitutet The Swedish Institute for Health Sciences
Principal Investigator: Katarina Wilhelmson, MD,PhD Göteborg University