Multidisciplinary team intervention incorporating telemedicine to improve the quality of care in the frail older persons, a model for transitional care from hospital to community in urban area (CGA for frail)

Multidisciplinary team intervention incorporating telemedicine to improve the quality of care in the frail older persons, a model for transitional care from hospital to community in urban area

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

TCTR

Registry ID

TCTR20190910002

Enrollment

256

Registered

2019-09-10

Start date

2019-09-09

Completion date

Unknown

Last updated

2026-08-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Frail elderly patients Frail Comprehensive geriatric assessment Multidisciplinary team interventions Telemedicine

Interventions

Comprehensive geriatric assessment and multidisciplinary team interventions,Standard treatment of medical wards at Siriraj hospital

Experimental Other,No Intervention Other

Comprehensive geriatric assessment and multidisciplinary team interventions,Standard treatment

Eligibility

Sex/Gender

All

Age

60 Years to 100 Years

Inclusion criteria

Inclusion criteria: 1. The patients aged 60 years and older admitted at medical wards in Siriraj hospital. 2. Frail elderly patients according to the simple Frail Questionnaire Screening tool â€“ Thai version 3. The patients who had a living area in Bangkoknoi or nearby this area.

Exclusion criteria

Exclusion criteria: 1. The patients who lived in nursing homes. 2. Admitted patients at an intensive care unit 3. The patients were performed endotracheal intubation and using respirator more than 96 hours. 4. End-of-life patients

Design outcomes

Primary

Measure	Time frame
Length of stay At the discharge date Collected data after the patients were discharged.	—

Secondary

Measure	Time frame
Hospital readmission within 30 days, 90 days 30 days and 90 days Collected data within 30 days and 90 days after the patients were discharged.,Emergency department visit within 30 days, 90 days 30 days and 90 days Collected data within 30 days and 90 days after the patients were discharged.,Functional outcome within 30 days, 90 days 30 days and 90 days Barthel index and LAWTON IADL scale,30-day-Mortality 30 days and 90 days Collected data within 30 days after the patients were discharged.,90-day-Mortality 30 days and 90 days Collected data within 90 days after the patients were discharged.,Economic status at 30 days, 90 days 30 days and 90 days Collected data within 30 days and 90 days after the patients were discharged.	—

Measure

Time frame

Hospital readmission within 30 days, 90 days 30 days and 90 days Collected data within 30 days and 90 days after the patients were discharged.,Emergency department visit within 30 days, 90 days 30 days and 90 days Collected data within 30 days and 90 days after the patients were discharged.,Functional outcome within 30 days, 90 days 30 days and 90 days Barthel index and LAWTON IADL scale,30-day-Mortality 30 days and 90 days Collected data within 30 days after the patients were discharged.,90-day-Mortality 30 days and 90 days Collected data within 90 days after the patients were discharged.,Economic status at 30 days, 90 days 30 days and 90 days Collected data within 30 days and 90 days after the patients were discharged.

—

Countries

Thailand

Contacts

Public ContactPatumporn Suraarunsumrit

Faculty of Medicine Siriraj Hospital, Mahidol University

patumsiriraj@gmail.com0874962569

Outcome results

None listed

Source: TCTR (via WHO ICTRP) · Data processed: Aug 9, 2026

Multidisciplinary team intervention incorporating telemedicine to improve the quality of care in the frail older persons&#44; a model for transitional care from hospital to community in urban area (CGA for frail)