Feasibility and Outcomes of Older Patients Hospitalization

Hillel Yaffe Medical Center

Status: Unknown

Conditions: Exacerbation of Chronic Obstructive Pulmonary Disease; Cellulitis; Community-Acquired Pneumonia; Exacerbation of Chronic Heart Failure

Treatments: Procedure: sub-acute hospitalization

Study type: Interventional

Funder types: Other

Identifiers

NCT00489021

20/2007-1-HY-CTIL

Details and patient eligibility

About

Hospitalization is a traumatic event for the patient and his family at any age nevertheless in the older age. One of its consequences is the difficulty to resume previous activity of daily living especially in older (over 75 years) patients. Sub acute completes the acute phase of the hospitalization and its main purpose is to improve the patient's functional status and quality of life. There are not enough clinical trails to proof this assumption. The purpose of our study is to compare the outcome of acute and sub-acute hospitalization programs by a randomized controlled prospective intervention study. Outcome measures will comprise activity of daily living, functional status, re-hospitalization and utilization of medical services following the hospitalization.Study hypothesis is that sub-acute hospitalization will improve outcomes and will cost less.

Enrollment: 300 estimated patients

Sex: All

Ages: 65+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age over 65
• Hemodynamic, nutritional and respiratory stability
• eligibility for sub- acute hospitalization

Exclusion criteria

• Oncological active disease
• uncorrectable hypoxemia (oxygen saturation 90%),
• suspected myocardial ischemia
• presence of an acute illness, other than the target illness

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)