No specific condition. Patients will have been admitted to hospital for care for conditions such as stroke, COPD, infection, or with injuries from falls. It is not possible to know in advance what conditions the patients will have because we are recruiting from a range of hospital specialties which are likely to include stroke, respiratory, cardiology, and elderly medical wards. Patients may have dementia and/or acute delirium alongside their presenting complaint. Other
Conditions
Interventions
A feasibility cluster randomised controlled trial will be conducted across 10 wards clustered within three acute NHS trusts. Wards will be randomised in an unequal allocation ratio (3:2) with six rand
follow-up questionnaires to assess patient reported outcomes at three points post discharge (up to 21 days post discharge, 30 days and 90 days post-discharge)
and access to their medical records to gather routinely collected data (e.g. readmissions post discharge, and information about co-morbidities). Depending on their preferences, patients may be followe
Sponsors
Bradford Teaching Hospitals NHS Foundation Trust
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Aged 75 and over 2. Community-dwelling at the time of admission and anticipated to be discharged to their own home or that of a relative (this can include a period of rehabilitation after hospital discharge) 3. Staying for at least one night on a participating ward 4. Ability to read and understand English 5. Willing and able to give informed consent (or personal consultee if lacking in mental capacity) For patients who lack capacity, eligible consultee/proxys (e.g. carers) will fulfil the following criteria: 1. A primary carer for the patient 2. Provides informal care to the patient (i.e. not paid / professional) 3. Willing to act as a consultee for the patient and/or willing and able to give informed consent to act as the patient’s proxy throughout the study. 4. Ability to read and understand English
Exclusion criteria
Exclusion criteria: 1. Out of area patients and/or patients who are to be transferred to another hospital 2. Admitted for psychiatric reasons (other than dementia/delirium) 3. Nursing/residential home resident or planning to be discharged to a nursing / residential home on a permanent basis 4. Less than one overnight stay (on the participating ward) at time of recruitment 5. Identified as being at the end of their life/subject to fast-track discharge to palliative care 6. Unable to read and understand English 7. Unable to give informed consent and where a suitable personal consultee cannot be identified, or if no one is prepared to act as a consultee for the patient
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 30-day emergency hospital readmission measured using patient records | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Safety and experience of older people during transitions from hospital to home measured using the Patient At Care Transitions Measure (PACT – M); Timepoint(s): up to 21, 30 and 90 days post-discharge 2. Patient-centred quality of care transitions measured using the Care Transitions Measure 3 items (CTM-3); Timepoint(s): up to 21, 30 and 90 days post-discharge 3. Quality of life measured using the EuroQol 5-Dimension Health Questionnaire (5 levels) (EQ5D-5L) and Proxy EQ5D-5L; Timepoint(s): up to 21, 30 and 90 days post-discharge 4. Healthcare resource use measured using an adapted version of Client Service Receipt Inventory (CSRI); Timepoint(s): up to 21, 30 and 90 days post-discharge 5. Utility of the intervention measured using... | — |
Countries
England, United Kingdom
Outcome results
None listed