Geriatric Syndromes, Geriatric Resources
Conditions
Interventions
Group 1: Intervention group: CGA, intersectoral discharge management with patient education and family physician contact
Group 2: Control group: CGA, normal discharge management
Sponsors
Uniklinik Köln - Zentrum Innere Medizin
Eligibility
Sex/Gender
All
Age
65 Years to No maximum
Inclusion criteria
Inclusion criteria: - Age = 65 years - multimorbidity (= 2 chronic diseases in need of treatment) - Patient or substitute able to consent - adequate language skills - grade of care <4
Exclusion criteria
Exclusion criteria: - Age = 4
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Rehospitalisation days (in-hospital days) in the 6 months after discharge | — |
Secondary
| Measure | Time frame |
|---|---|
| Assessment of whether the intervention in the study influences the following health indicators after 1, 3 and 6 months: A) length of hospitalization, B) number of existing preventive measures (preventive power, living will), C) development of the level of care, D) nursing home use, E) Number of drugs, F) presence of depression symptoms, G) measure of activity of the patient (Theraband, pedometer), H) quality of life (EQ-5D-5L), I) self-efficacy (RSES), J) satisfaction of the patient with the discharge management, K) satisfaction of the attending family doctors with the dismissal management and the team work, L) general practitioner's use of the contact offer to the Geriater after hospitalization. | — |
Countries
Germany
Contacts
Public ContactMaria Polidori Nelles
Uniklinik Köln - Zentrum Innere Medizin
Outcome results
None listed