Acute Combined Care for Seniors in Southern Denmark (ACCESS)

February 13, 2016 updated by: Christian Backer Mogensen, University of Southern Denmark

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 ?

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

131

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Denmark
      • Aabenraa, Denmark, 6200
        • Aabenraa Sygehus Emergency Department

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

60 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

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

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Health Services Research
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Other: own GP
The patient is cared for by own General Practitioner in the acute stage
Other: General Practitioner
Other: Hospital specialist
The patient is cared for by a hospital specialist in the acute stage
Other: hospital specialist

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
number of participants with hospital admission
Time Frame: 3 months after inclusion
3 months after inclusion

Secondary Outcome Measures

Outcome Measure
Time Frame
change from baseline in De Morton Mobility Index (DEMMI)
Time Frame: 3 months after inclusion
3 months after inclusion
change from baseline in quality of life (EQ5D scale)
Time Frame: 3 months after inclusion
3 months after inclusion
change from baseline in Orientation Memory-Concentration (OMC)
Time Frame: 3 months after inclusion
3 months after inclusion
patient and relatives satisfaction questionnaire
Time Frame: 3 months after inclusion
3 months after inclusion

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

University of Southern Denmark

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

November 1, 2013

Primary Completion (Actual)

February 1, 2015

Study Completion (Actual)

June 1, 2015

Study Registration Dates

First Submitted

March 27, 2015

First Submitted That Met QC Criteria

April 16, 2015

First Posted (Estimate)

April 21, 2015

Study Record Updates

Last Update Posted (Estimate)

February 17, 2016

Last Update Submitted That Met QC Criteria

February 13, 2016

Last Verified

February 1, 2016

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • SHS-ED-01-2013

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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