Infections | Intravenous Treatment in Nursing Homes
Infections research study
What is the primary objective of this study?
The primary objective for the project is to evaluate whether nursing home residents who require intravenous fluids and intravenous antibiotics, can be treated just as well or even better in the nursing home as in the hospital. In Vestfold, Norway, a structured training program in the intravenous treatment of dehydration and infections in nursing homes is planned. The 3IV study will evaluate if this leads to an equal or better patient trajectory and reduced hospital admittance.
Who is eligible to participate?
Inclusion Criteria: - Nursing home residents in need of intravenous fluids or antibiotics Exclusion Criteria: - Patients who needs hospitalization due to either co-morbidity or seriousness of disease
Which medical condition, disease, disorder, syndrome, illness, or injury is researched?
Interventions can include giving participants drugs, medical devices, procedures, vaccines, and other products that are either investigational or already available or noninvasive approaches such as surveys, education, and interviews.
Other:A structured training programA structured training program in nursing homes in the intravenous treatment of dehydration and infections.
Research studies and clinical trials typically have two or more research arms. An arm is a group of people who receive the same treatment in the study.
Usual careNursing home residents who require intravenous fluids and intravenous antibiotics was treated as usual (hospital admissions for intravenous treatment). In control nursing homes that had not completed the training program (intervention period), nursing home residents who require intravenous fluids and intravenous antibiotics was treated as usual. The majority of these patients were admitted to hospital for intravenous treatment. A few nursing homes or nursing home departments had sufficient expertise and capacity to provide treatment locally.
A training program in iv treatmentA structured training program in intravenous treatment in nursing homes: Each of 30 participating nursing homes sequentially received theory and practical training in intravenous treatment. In nursing homes that had completed the training program (intervention period), and had sufficient expertise and capacity, nursing home residents in need of intravenous fluids or antibiotics were treated locally; otherwise they were hospitalized.
Start Date: November 2009
Completed Date: December 2012
Phase: Phase 2
Primary Outcome: All cause morbidity and mortality
Secondary Outcome: Number of admissions and days in hospitals among nursing home residents
Study sponsors, principal investigator, and references
Lead Sponsor: University of Oslo