elke mogelijke psychische aandoening in combinatie met elk soort somatische aandoening a behavioral problem together with a physical illness a psychiatric problem together with physical suffering
Conditions
Interventions
The study design is a randomized clinical trial, where treatment in the MPU is
compared with CAU.
Sponsors
Erasmus MC, Universitair Medisch Centrum Rotterdam
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: Patients who are eligible for inclusion in the study are: Patients with a somatic indication for admission and a psychiatric or behavioral problem that hampers the treatment of the somatic condition, making treatment in a regular department in the hospital or psychiatric hospital difficult
Exclusion criteria
Exclusion criteria: * Patients without indication for somatic treatment * Patients with somatic problems that can only be treated at a high or intensive (coronary) care unit * Patients who require strict isolation in a slothed box. Such a facility is not present on the MPU. * Minors
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome measure is a decrease in disruptive behavior as measured by a newly developed observation list, the Inpatient Disruptive Behavior Index (InDiBI). | — |
Secondary
| Measure | Time frame |
|---|---|
| * Costs and care use: file research and 'micro-costing' methods. * Quality of life: EQ-5D-5L. * Perception and safety of the care provided: patients and caregivers are given a single question with the responses on a three-point scale. In addition, there is a qualitative evaluation among nursing and medical staff, caregivers and patients using semi-structured interviews. * Burden for informal carers: caregiver strain index * Quantity and quality of the interventions used: adherence to treatment protocols suicidality and delirium, freedom-limiting interventions, medication use, calamities / incidents as described under Serious Adverse Events ((S) AEs, section 10.2 of the protocol * Physical and mental health: morbidity and mortality: file research, modified early warning score, Charlson Comorbidity Index, Global Assessment of Functioning (GAF score), Clinical Global Impression (CGI) and the Suicidal Affect Behavior Cognition Scale (SABCS). * Disruptive behavior as experienced by evaluation among nursing and medical staff: qualitative interviews. * Interference of the somatic treatment by the psychiatric condition or behavioral problems: four-point scale to be completed by medical and nursing staff. | — |
Countries
Netherlands
Outcome results
None listed