Acute Medical Conditions
Conditions
Keywords
Patient admission
Brief summary
the elderly population (+ 65 years) is increasing. Acute medical conditions often leads to hospital admissions in this age group. However hospital admission is linked to adverse events. like confusion, medication errors or new infections. the ACCESS project aims to examine alternatives to acute admissions for senior medical patients. the aims are: 1. How many patients will be admitted to hospital due to acute medical conditions if cared for by their own General Practitioner (GP) versus a hospital intern specialist ? 2. how many patients will be admitted to hospital due to acute medical conditions if cared for by acute team in their home versus in specialised care centres ?
Interventions
OTHERhospital specialist
OTHERGeneral Practitioner
Sponsors
University of Southern Denmark
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
60 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* acute medical condition requiring immediate intervention.
Exclusion criteria
* GP not available next days * absolutely admission requiring condition * no informed consent obtainable * nursing home resident * inclusion in ACCESS within the last 3 months * home care capacity limit reached
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| number of participants with hospital admission | 3 months after inclusion |
Secondary
| Measure | Time frame |
|---|---|
| change from baseline in De Morton Mobility Index (DEMMI) | 3 months after inclusion |
| change from baseline in quality of life (EQ5D scale) | 3 months after inclusion |
| change from baseline in Orientation Memory-Concentration (OMC) | 3 months after inclusion |
| patient and relatives satisfaction questionnaire | 3 months after inclusion |
Countries
Denmark
Outcome results
None listed