Maintaining Independence: The effect of regular telephone follow-up on residential care admission and hospital readmissions in frail elderly patients recently discharged from hospital.

Maintaining Independence: A pilot feasibility study of regular telephone follow-up in frail elderly patients recently discharged from hospital to prevent residential care admission and hospital readmissions.

Status

Completed

Phases

Unknown

Study type

Interventional

Source

ANZCTR

Registry ID

ACTRN12609000821291

Enrollment

Registered

2009-09-21

Start date

2013-11-25

Completion date

2014-02-28

Last updated

2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

This study aims to improve the outcomes for frail elderly people follwoing a hospital admission. Subjects will be telephoned once per month and asked about their self-rated health. If they report their health is deteriorating following discharge they will be discussed at a multi-disciplinary team meeting and one or more relevant members of the team will visit them at home. This is a pilot feasibility/ acceptability study so participants, carers and health professionals involved will also be interviewad about their views of the study. Outcomes of residential care admission and subsequent hospital admissions will be compared with historical controls. The results will be used for a power calculation for a subsequent randomised controlled trial (RCT).

Interventions

Regular monthly telephone follow-up post-discharge, participants will be asked about their own self-rated health. If they report their health is deteriorating they will be brought for discussion at a multidisciplinary team metting and one or more relevant members of the team will then visit them at home. The intervention will continue for 3 months.

Study design

Allocation

Non-randomised trial

Intervention model

Single group

Primary purpose

Prevention

Masking

Open (masking not used)

Eligibility

Sex/Gender

All

Age

65 Years to 110 Years

Healthy volunteers

Inclusion criteria

Aged >65 years Discharged to own home from post-acute geriatric assessment and rehabilitation hospital

Exclusion criteria

severe dementia terminal care non-english speaking

Outcome results