Palliative care
Conditions
Interventions
A transtional palliative care pathway. The transitional care pathway starts during admission and follows patients both in primary and secondary care.
Sponsors
Amsterdam UMC, location AMC
Eligibility
Inclusion criteria
Inclusion criteria: 1) Age (≥65 years); 2) Acutely admitted for ≥48 hours to the departments of internal medicine, geriatrics, cardiology, pulmonary disease, gastroenterology or oncology; 3) Positive SPICT™ criteria: a hospital admission in six months prior to admission,functional status decline and weight loss (65-79 years: two or more positive criteria, >80 years: 1 or more positive criteria); 4) Ability to read and speak the Dutch language;
Exclusion criteria
Exclusion criteria: Patients who are not able to answer questionnaires due to severe cognitive impairment (MMSE<15) due to diagnosis of dementia or active delirium during the entire admission, will be excluded. Furthermore, patients who live far from the hospital and therefore cannot be visited by the palliative care team will be excluded.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of patients with an unplanned hospitalisation in the six months after inclusion. | — |
Secondary
| Measure | Time frame |
|---|---|
| Death at place of (first) preference; palliative care outcomes (POS/USD/ESAS); Quality of Life (EQ5D/McGill Quality of Life Questionnaire; Informal caregiver burden (CareQol); Healthcare utilization; Costeffectiness analysis and processevaluaton | — |
Contacts
Public ContactBianca Buurman
Postbus 22660
Outcome results
None listed