[Domiciliary intervention by occupational therapy after hospital discharge in order to prevent re-admission in the elderly: Study protocol for a randomised clinical trial].

Autor:	Fasce Pineda G; Hospital Clínico de la Universidad de Chile, Santiago, Chile; Clínica las Condes, Santiago, Chile. Electronic address: gfasce@hcuch.cl., Aravena Castro JM; Hospital Clínico de la Universidad de Chile, Santiago, Chile; Facultad de Salud, Universidad Bernardo O'Higgins, Santiago, Chile., Araya Orellana C; Hospital de la Fuerza Aérea de Chile, Santiago, Chile., Bustamante Muñoz R; Hospital Clínico de la Universidad de Chile, Santiago, Chile., Gonzalez Andrade F; Hospital Clínico de la Universidad de Chile, Santiago, Chile., Briceño Ribot C; Hospital Clínico de la Universidad de Chile, Santiago, Chile; Departamento de Terapia Ocupacional y Ciencia de la Ocupación, Universidad de Chile, Santiago, Chile., Quiroz Opazo T; Hospital de la Fuerza Aérea de Chile, Santiago, Chile., Araya Orellana E; Hospital de la Fuerza Aérea de Chile, Santiago, Chile., Navarrete Hernandez G; Hospital Clínico de la Universidad de Chile, Santiago, Chile.
Jazyk:	Spanish; Castilian
Zdroj:	Revista espanola de geriatria y gerontologia [Rev Esp Geriatr Gerontol] 2018 Nov - Dec; Vol. 53 (6), pp. 337-343. Date of Electronic Publication: 2018 Jul 04.
DOI:	10.1016/j.regg.2018.04.448
Abstrakt:	Background and Objective: Re-admission to hospital by the elderly is a frequent event that is associated with complications. The aim of this article is to describe a randomised clinical trial protocol which has the aim of describing and comparing the impact of a home-based intervention by Occupational Therapists (OT) in the likelihood of re-admission at 6 months. Material and Method: Randomised controlled trial conducted in medical units of the "Hospital Clínico de la Universidad de Chile" and "Hospital de la Fuerza Aérea de Chile", with 217 patients aged 60 years or older admitted for acute or decompensated chronic disease, provided that they have a person of reference after hospital discharge. The control group consists of the usual care regarding post-discharge patients. This will be compared to the experimental group that includes a home visit from OT on two occasions over a six-month period, who will apply a multicomponent intervention. Informed consent will be requested with the sociodemographic and hospital admission information, functional (Barthel index; Lawton & Brody Scale) and cognitive performance (Short Portable Mental Status Questionnaire; Functional Activities Questionnaire; Confusion Assessment Method), and comorbidity (Cumulative Illness Rating Scale for Geriatrics). Both groups will receive a telephone follow-up at 4, 12 and 24 weeks after hospital discharge. Results: The intervention will reduce the rate of hospital re-admissions by at least 40% at 6 months compared with usual care. Conclusion: It will be useful to know the components that reduce the risk of hospital re-admissions and improve hospital discharge healthcare for elderly. (Copyright © 2018 SEGG. Publicado por Elsevier España, S.L.U. All rights reserved.)
Databáze:	MEDLINE
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