Evaluation design of a reactivation care program to prevent functional loss in hospitalised elderly: a cohort study including a randomised controlled trial.
Evaluation design of a reactivation care program to prevent functional loss in hospitalised elderly: a cohort study including a randomised controlled trial.
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DOI：
10.1186/1471-2318-11-36
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发表时间：
2011-08-03
期刊：
影响因子：
4.1
通讯作者：
Mackenbach JP
中科院分区：
文献类型：
--
作者：
Asmus-Szepesi KJ;de Vreede PL;Nieboer AP;van Wijngaarden JD;Bakker TJ;Steyerberg EW;Mackenbach JP
住院的老年人有可能出现与医院有关的功能丧失。本评估旨在通过比较一种新的干预方案和两种常规的护理方案，比较不同水平的（综合）健康干预护理方案对预防老年患者医院相关功能丧失的影响。这项研究将包括一个效果，过程和成本评估使用定量和定性方法的混合方法设计。三家医院在荷兰与不同层次的综合老年保健将使用准实验研究设计进行评估。将通过一项前瞻性队列研究收集有关结果的数据，该研究将纳入一项嵌套随机对照试验，以评估在该中心停留以预防和重新激活具有复杂问题的患者的效果。研究人群将包括入住三家医院之一的有功能丧失风险的老年人（65岁或以上）。在入院时（T0）、入院后3个月（T1）和12个月（T2）前瞻性收集数据。将测量患者和非正式护理人员的结局（例如，健康相关的生活质量、日常生活活动、护理负担、住院或疗养院（再）入院、死亡率）以及过程测量（例如，多学科团队的合作与协作、患者和非正式护理人员对护理的满意度）。定性分析将确定干预措施实施的准确性，并为定量结果提供进一步的背景和解释。最后，将从社会角度确定成本，以便进行成本效益计算。预计，为高危老年人提供更高水平的综合医院保健将防止出院后功能丧失和生活质量下降，并降低非正式护理人员的护理负担和提高生活质量。最终，这项研究的结果可能有助于实施一项国家综合卫生保健计划，以防止老年患者中医院相关的功能丧失。荷兰国家试验注册中心：NTR 2317
Elderly persons admitted to the hospital are at risk for hospital related functional loss. This evaluation aims to compare the effects of different levels of (integrated) health intervention care programs on preventing hospital related functional loss among elderly patients by comparing a new intervention program to two usual care programs. This study will include an effect, process and cost evaluation using a mixed methods design of quantitative and qualitative methods. Three hospitals in the Netherlands with different levels of integrated geriatric health care will be evaluated using a quasi-experimental study design. Data collection on outcomes will take place through a prospective cohort study, which will incorporate a nested randomised controlled trial to evaluate the effects of a stay at the centre for prevention and reactivation for patients with complex problems. The study population will consist of elderly persons (65 years or older) at risk for functional loss who are admitted to one of the three hospitals. Data is prospectively collected at time of hospital admission (T0), three months (T1), and twelve months (T2) after hospital admission. Patient and informal caregiver outcomes (e.g. health related quality of life, activities of daily living, burden of care, (re-) admission in hospital or nursing homes, mortality) as well as process measures (e.g. the cooperation and collaboration of multidisciplinary teams, patient and informal caregiver satisfaction with care) will be measured. A qualitative analysis will determine the fidelity of intervention implementation as well as provide further context and explanation for quantitative outcomes. Finally, costs will be determined from a societal viewpoint to allow for cost effectiveness calculations. It is anticipated that higher levels of integrated hospital health care for at risk elderly will result in prevention of loss of functioning and loss of quality of life after hospital discharge as well as in lower burden of care and higher quality of life for informal caregivers. Ultimately, the results of this study may contribute to the implementation of a national integrated health care program to prevent hospital related functional loss among elderly patients. The Netherlands National Trial Register: NTR2317
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DOI：
10.1136/bmj.c1718
发表时间：
2010-04-20
期刊：
BMJ (Clinical research ed.)
影响因子：
--
作者：
Bachmann S;Finger C;Huss A;Egger M;Stuck AE;Clough-Gorr KM
通讯作者：
Clough-Gorr KM
影响因子：
3.4
作者：
Bonomi, AE;Wagner, EH;VonKorff, M
通讯作者：
VonKorff, M
影响因子：
168.9
作者：
Beswick, Andrew D.;Rees, Karen;Dieppe, Paul;Ayis, Salma;Gooberman-Hill, Rachael;Horwood, Jeremy;Ebrahim, Shah
通讯作者：
Ebrahim, Shah
DOI：
10.1111/j.1532-5415.2008.02136.x
发表时间：
2009-03-01
影响因子：
6.3
作者：
Avila-Funes, Jose Alberto;Amieva, Helene;Dartigues, Jean-Francois
通讯作者：
Dartigues, Jean-Francois
DOI：
10.1111/j.1532-5415.2008.02023.x
发表时间：
2008-12-01
影响因子：
6.3
作者：
Boyd, Cynthia M.;Landefeld, C. Seth;Covinsky, Kenneth E.
通讯作者：
Covinsky, Kenneth E.