See the original poster as pdf in a new window. It was presented at the 14th European Union Geriatric Medicine Society Annual Congres (EUGMS) in Berlin from October 10 – 12, 2018.
Maaike A Pouw, Agneta H Calf, Barbara C van Munster, Jan C ter Maaten, Nynke Smidt, Sophia E de Rooij
Department of Geriatrics, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
An acute hospital admission is a stressful life event for older people, particularly for those with cognitive impairment. The hospitalisation is often complicated by hospital-associated geriatric syndromes, including delirium and functional loss, leading to functional decline and nursing home admission. Hospital at Home care aims to avoid hospital-associated adverse outcomes in older patients with cognitive impairment by providing hospital care in the patient’s own environment.
Figure: Route of a patient in need of acute care (click on image to increase and open in new window)
To assess the feasibility of conducting a randomised controlled trial in terms of the recruitment, use and acceptability of Hospital at Home care for older patients with cognitive impairment.
This randomised, non-blinded feasibility trial assesses the feasibility of conducting a randomised controlled trial in terms of the recruitment, use and acceptability of Hospital at Home care for older patients with cognitive impairment. Eligible patients will be randomised either to Hospital at Home care in their own environment or usual hospital care. The intervention consists of hospital level care provided at patients’ homes, including visits from health care professionals, diagnostics (laboratory tests, blood cultures) and treatment. The control group will receive usual hospital care. Measurements will be conducted at baseline, during admission, at discharge and at three and six months after the baseline assessment.
University Medical Center Groningen, University of Groningen, ZonMw & Deltaplan Dementie