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Sponsors and Collaborators: |
Hamilton Health Sciences Canadian Institutes of Health Research (CIHR) |
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Information provided by: | McMaster University |
ClinicalTrials.gov Identifier: | NCT00157612 |
Nursing home residents are frequently transferred to hospital for management of pneumonia. This often leads to hospital related complications and is a burden on the acute care health system. The purpose of this study is to assess whether managing residents with pneumonia and lower respiratory tract infection on site in the nursing home can reduce hospital admissions and can reduce complications and improve quality of life for residents. We have randomized residents with nursing home acquired pneumonia to on-site management, using a clinical pathway, versus usual care.
Condition | Intervention |
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Pneumonia Lower Respiratory Tract Infection |
Procedure: a clinical pathway for the management of nursing home acquired pneumonia |
Study Type: | Interventional |
Study Design: | Treatment, Randomized, Open Label, Active Control, Parallel Assignment, Efficacy Study |
Official Title: | A Randomized Control Trial of a Clinical Pathway for Nursing Home Pneumonia. |
Estimated Enrollment: | 680 |
Study Start Date: | January 2001 |
Estimated Study Completion Date: | July 2005 |
We conducted a cluster-randomized controlled trial where nursing homes were randomized to either use of a clinical pathway or usual care for management of nursing home acquired pneumonia. The clinical pathway included chest radiographs performed on-site in the nursing home by a mobile x-ray unit, use of hypodermocylysis (subcutaneous infusion) for re-hydration, administration of an oral antimicrobials, and use of pulse oximetry to assess oxygenation. The main outcomes were hospital admission rate and length of stay. Secondary outcomes included health related quality of life, rates of both infectious and non-infectious complications within four weeks of onset of symptoms; mortality rate of residents with pneumonia (death from all causes within 30 days of onset of symptoms. Time to stabilization of vital signs, as well as functional status at four weeks, were assessed.
Ages Eligible for Study: | 64 Years and older |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Exclusion Criteria:
Study ID Numbers: | 00-1848, CRT-43826 |
Study First Received: | September 7, 2005 |
Last Updated: | July 19, 2006 |
ClinicalTrials.gov Identifier: | NCT00157612 |
Health Authority: | Canada: Health Canada |
pneumonia lower respiratory tract infection clinical pathway |
nursing home long-term care randomized control trial |
Respiratory Tract Diseases Respiratory Tract Infections Lung Diseases Pneumonia |
Infection |