TY - JOUR
T1 - Impact of a multidimensional intervention in elderly patients with community-acquired pneumonia: IMIEPCAP clinical trial
AU - Torres, Olga Herminia
AU - Gil, Eva
AU - Comas, Maria Teresa
AU - Saez, Maria Encarnación
AU - Clotet, Sandra
AU - Ramirez, Hector David
AU - Mateo, Miriam
AU - Ruiz, Domingo
PY - 2016/1/1
Y1 - 2016/1/1
N2 - © 2015 SEGG. Introduction: The main objective of this study is to determine whether a multidimensional intervention applied to elderly patients admitted to hospital due to pneumonia reduces re-admissions and emergency department visits in the year after the intervention. Methodology: This is a single-centre non-pharmacological randomised clinical trial with a parallel design. Three hundred and fourteen patients will be included (157 in each arm). Eligible patients will be ≥. 65. years old and with a Barthel index ≥. 60 that are admitted to hospital due to pneumonia. Participants will be randomised to multidimensional intervention or to control group. Two months after hospital discharge the intervention group will receive a geriatric intervention, carried out by a nurse and a physician. It will include assessment of co-morbidities, nutritional, functional and cognitive status, and immunisation. The control group will receive conventional follow-up. The number of re-admissions, visits to the emergency department, functional status, survival, and institutionalisation will be evaluated one year after intervention.If the intervention shows an improvement in the studied outcomes, it would allow us to improve individual outcomes, and indirectly reduce healthcare costs using a relatively simple, standardised tool.
AB - © 2015 SEGG. Introduction: The main objective of this study is to determine whether a multidimensional intervention applied to elderly patients admitted to hospital due to pneumonia reduces re-admissions and emergency department visits in the year after the intervention. Methodology: This is a single-centre non-pharmacological randomised clinical trial with a parallel design. Three hundred and fourteen patients will be included (157 in each arm). Eligible patients will be ≥. 65. years old and with a Barthel index ≥. 60 that are admitted to hospital due to pneumonia. Participants will be randomised to multidimensional intervention or to control group. Two months after hospital discharge the intervention group will receive a geriatric intervention, carried out by a nurse and a physician. It will include assessment of co-morbidities, nutritional, functional and cognitive status, and immunisation. The control group will receive conventional follow-up. The number of re-admissions, visits to the emergency department, functional status, survival, and institutionalisation will be evaluated one year after intervention.If the intervention shows an improvement in the studied outcomes, it would allow us to improve individual outcomes, and indirectly reduce healthcare costs using a relatively simple, standardised tool.
KW - Clinical trial
KW - Comprehensive geriatric assessment
KW - Elderly
KW - Pneumonia
KW - Secondary prevention
U2 - 10.1016/j.regg.2015.09.004
DO - 10.1016/j.regg.2015.09.004
M3 - Article
SN - 0211-139X
VL - 51
SP - 37
EP - 43
JO - Revista Espanola de Geriatria y Gerontologia
JF - Revista Espanola de Geriatria y Gerontologia
IS - 1
ER -