Community-acquired Pneumonia | Impact of a Multidimensional Intervention in Elderly Patients With Pneumonia
Community-acquired Pneumonia research study
What is the primary objective of this study?
The hypothesis of this study is that long-term outcome in elderly patients admitted with the diagnosis of community-acquired pneumonia (CAP) or healthcare-associated pneumonia (HCAP) would improve with a multidimensional intervention including assessment of co-morbidities, nutritional, functional and cognitive status and immunization.
Who is eligible to participate?
Inclusion Criteria: - Elderly patients (aged 65 years and over), of either sex, not dependent for basic activities of daily living (Barthel index ≥60 points). - Diagnosed with community-acquired pneumonia at the Emergency Department or Day Hospitals at \"Hospital de la Santa Creu I Santa Pau\" - Admitted to hospital. Exclusion Criteria: - Derived from other acute care hospitals. - Patients with HIV infection. - Neutrophil counter<1000/mm3 - Transplanted patients. - Barthel index<60 points. - Terminal disease. - No signed informed consent.
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:Multidimensional interventionThe patient will be cited 2 months after hospital discharge for a geriatric evaluation carried out by a geriatric nurse and an internist with geriatric training. The duration of the first visit is 45-60 minutes. The visit consists of: 1. Assessment of the pneumonia resolution, co-morbidities, aspiration risk, risk of multiresistant infections, and the immunization, functional and cognitive status. 2. An individualized intervention plan. The patient and family or caregiver will receive an educational intervention, a written report with the planned intervention and an educational leaflet. Those patients who require further assessment or follow up of the intervention will receive 1 or 2 more visits and all the patients will be cited one year after the first visit.
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.
Multidisciplinar interventionPatients that will receive the multidimensional intervention during the ambulatory follow-up.
Conventional follow upThis is an observation only group and outpatient follow up will be indicated in accordance with usual and customary practices.
Active, not recruiting
Start Date: November 2010
Completed Date: December 2018
Primary Outcome: Healthcare resources utilization (readmissions and consultations to hospital and emergency department).
Secondary Outcome: Functional status
Study sponsors, principal investigator, and references
Principal Investigator: Olga H Torres, Phd
Lead Sponsor: Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau
Torres OH, Gil E, Comas MT, Saez ME, Clotet S, Ramirez HD, Mateo M, Ruiz D. [Impact of a multidimensional intervention in elderly patients with community-acquired pneumonia: IMIEPCAP clinical trial]. Rev Esp Geriatr Gerontol. 2016 Jan-Feb;51(1):37-43. doi: 10.1016/j.regg.2015.09.004. Epub 2015 Oct 30. Spanish.