AdvantAGE: Implementation and Evaluation of an Interprofessional Tranistional Care Model for Frail Older Adults
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age65+
SponsorThekla Brunkert
About this trial
This clinical trial at the University Department of Geriatric Medicine FELIX Platter in Basel, Switzerland, is designed to evaluate a new transitional care model aimed at helping frail older adults after they get discharged from the hospital. The AdvantAGE study aims to explore the following questions:
* Does the new care model help reduce the number of patients who need to return to the hospital within 90 days? * How effective is the implementation of this care model?
Participants in the trial will be followed by advanced practice nurses for up to 90 days after hospital discharge. The patients and their caregivers will receive support in coordinating care, managing medications, and learning to manage the patient's health conditions on their own. Additionally, they will have the opportunity to engage in discussions about advanced care planning.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Currently admitted to the acute or rehabilitation ward of University Department of Geriatric Medicine
Reside in Basel-Stadt
Possess the ability to speak and comprehend the German language
Scheduled to be discharged to their home
Disqualifiers
residing in a nursing home or being newly admitted to one
lacking informal caregivers and exhibiting severe cognitive impairment (MMS ≤23)
scoring <50 on the motoric domain of the Functional Independence Measure (FIM)
having a psychiatric disorder that significantly impacts their ability to manage daily life at time of the discharge
Trial design
Design model
Single group
Treatments tested in this trial
Transitional care model
Other interventionA newly developed care model to support frail older adults during their transition from hospital to home.
Treatment groups
250 Participants
are divided into 1 treatment groupGroup A: Intervention groupExperimental treatment 1 intervention
Trial outcomes
Primary outcomes
1
90-days rehospitalization rate
Number of unplanned hospital admissions of any kind happening within 90 days after discharge
Time frame
90 days post-dischargeSecondary outcomes
1
30-days rehospitalization rate
Number of unplanned hospital admission of any kind happening within 30 days after discharge
Time frame
30 days post-discharge2
Time to readmission
Number of days between hospital discharge and unplanned hospital admission
Time frame
Up to 90 days post-discharge3
Number of emergency room visits
Number of emergency room visits (with or without hospital admission) within 90 days after discharge
Time frame
90 days post-discharge4
Time to emergency room visit
Number of days between hospital discharge and emergency room visit
Time frame
Up to 90 days post-dischargeSponsors and contacts
Click on the lead sponsor to view all of their trials.
Thekla Brunkert
Lead sponsor
University Department of Geriatric Medicine FELIX PLATTER
Sponsor institution
Health Department of the Canton of Basel-Stadt
Collaborator
Source ClinicalTrials.gov