Hospital at Home care for older patients with cognitive impairment: A protocol for a randomised controlled feasibility trial

Pouw, M. A., Calf, A. H., van Munster, B. C., ter Maaten, J. C., Smidt, N. & de Rooij, S. E., Mar-2018, In : BMJ Open. 8, 3, 9 p., 020332.

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Introduction 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 hospitalisation-associated adverse outcomes in older patients with cognitive impairment by providing hospital care in the patient's own environment.

Methods and analysis This randomised, non-blinded feasibility trial aims to assess the feasibility of conducting a randornised controlled trial in terms of the recruitment, use and acceptability of Hospital at Home care for older patients with cognitive impairment. The quality of care will be evaluated and the advantages and disadvantages of the Hospital at Horne care programme compared with usual hospital care. 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 healthcare professionals, diagnostics (laboratory tests, blood cultures) and treatment. The control group will receive usual hospital care. Measurements will he conducted at baseline, during admission, at discharge arid at 3 and 6 months after the baseline assessment.

Ethics and dissemination Institutional ethics approval has been granted. The findings will be disseminated through public lectures, professional arid scientific conferences, as well as peer-reviewed journal articles. The study findings will contribute to knowledge on the implementation of Hospital at Home care for older patients with cognitive disorders. The results will be used to inform and support strategies to deliver eligible care to older patients with cognitive impairment.

Original languageEnglish
Article number020332
Number of pages9
JournalBMJ Open
Issue number3
Publication statusPublished - Mar-2018



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