Optimizing Prevention of Hospital-Acquired Disability Through Multidomain Interventions
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age70+
SponsorUniversity of Milano Bicocca
About this trial
The aim of this study is to assess whether a multidomain, multidisciplinary intervention (MDI), enhanced by technological solutions, effectively improves the functional and cognitive status of older hospitalized patients at risk of disability or worsening frailty. Additionally, the study will evaluate the feasibility and acceptability of delivering these interventions remotely via technology after hospital discharge.
Participants will:
* Receive an MDI during their hospital stay and continue with remote at-home support for 3 months, or receive usual care. * Attend outpatient clinics for follow-up assessment at 3 and 6 months.
Eligibility criteria
Qualifiers
Age >70 years;
Mild to moderate frailty, defined by a panel of tools agreed upon by the group of researchers involved in the study (Primary Care Frailty Index [PC-FI] between 0.07 and 0.21, Clinical Frailty Scale [CFS] 4-6);
Ability to walk with or without assistance
Ability to communicate and cooperate with the research team;
Disqualifiers
Expected hospital stay duration <3 days;
Estimated prognosis quoad vitam <12 months;
Persistent clinical instability, indicated by a NEWS2 score >5 (assessed within 48 hours of admission) and/or the presence of delirium (4AT >4);
History of schizophrenia, major depression, bipolar disorder, or psychosis;
Trial design
Treatments tested in this trial
- Multidomain Interventions
Treatment groups
288 Participants
are divided into 2 treatment groupsSponsors and collaborators
Source ClinicalTrials.gov