Quality of Life
Conditions
Keywords
Polypharmacy
Brief summary
Like most developed countries the population of Sweden is getting older and consequently the number of individuals with chronic diseases will be an increasing challenge for its healthcare system. To improve care of the frail elderly, wards with a coordinated multidisciplinary team and multidisciplinary mobile teams were established several years ago. Treatment and follow up is planned in accordance to the patients' medical, psychological and functional capabilities (Comprehensive Geriatric Assessment = CGA). There are to our knowledge only few studies concerning CGA applicable to Swedish conditions. We plan to conduct a Swedish study that evaluates if care and treatment with a modified CGA-model in an outpatient setting can improve quality of life for frail older people.
Interventions
Optimization of treatment of diseases and symptoms
Sponsors
Study design
Eligibility
Inclusion criteria
* Age ≥65 years * Live in own home * Reason to believe that the health condition is not optimal or could be optimized * Meet at least 2/6 of the following criteria: cognitive impairment, general tiredness or dyspnea, have fallen often/afraid to fall, need help with activities of daily living, hospital care ≥3 times within the last 12 months, care problems at home
Exclusion criteria
* Psychosis * Not understand the Swedish language
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Retained or increased quality of life of at least 20% measured by EQ-5D (EuroQOL) after 1 year from baseline. | 1 year from baseline |
Secondary
| Measure | Time frame |
|---|---|
| Readmission to hospital | 1 year from baseline |
Other
| Measure | Time frame |
|---|---|
| The quality of drug treatment | 1 year from baseline |
Countries
Sweden