Ouderen Geneeskunde: Multimorbiditeit Frailty Independence Multimorbidity
Conditions
Interventions
Participants will receive care that is the standard at their hospital. In the
Vlietland hospital this standard is the prevention and reactivation care
program (ZPH). ZPH has been developed over many
Sponsors
Erasmus MC, Universitair Medisch Centrum Rotterdam
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: Aged 65 years and older Admitted in one of the participating hospitals (expected stay >= 2 days) At risk for loss of function (score > 2 on the ISAR and score 15 or lower on the Barthel index and/or score 3 or higher on the NPI);Inclusion criteria for stay in the CPH: positive score on a functional assessment list. Including delirium score, clinical determinants such as anemia and low BMI, and the burden for the informal carer
Exclusion criteria
Exclusion criteria: Unable to answer questions or follow instructions (e.g. due to severe cognitive problems (MMSE score
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The effect evaluation will assess patient and caregiver outcomes (e.g. health related quality of life, physical functioning, cognitive functioning, social and emotional functioning, psychological functioning, objective and subjective burden of care), duration of hospital stay as well as (re-)admittance in hospital or nursing homes and mortality. Costs will be determined from a societal viewpoint for evaluation of cost effectiveness of the ZPH compared to current, usual care | — |
Secondary
| Measure | Time frame |
|---|---|
| Secundary study parameters for the effect evaluation are cognitive functioning and psychological/social functioning of the patient and patient self management. | — |
Countries
Netherlands
Outcome results
None listed