N/A
N=229
Enhanced Medical Rehabilitation in Older Adults
Disabling Medical Events · Disabled · Depression
Bottom Line
View on ClinicalTrials.gov: NCT02114879 ↗Enrolled (actual)
229
Serious AEs
7.4%
Results posted
Jul 2020
Primary outcome: Primary: Change in Barthel Index Score — 28.48; 34.92 score on a scale — p=0.007
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Enhanced Medical Rehabilitation (Behavioral); Standard of Care Rehabilitation (Behavioral)
- Age
- Older Adult · 65+ yrs
- Sex
- All
- Sponsor
- Washington University School of Medicine
- Primary completion
- Jul 2018
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Change in Barthel Index Score |
28.48; 34.92 | 0.007 sig |
| SECONDARY Gait Speed (Determined by 4 or 10 Meter Walk Test) |
0.45; 0.35 | 0.11 |
| SECONDARY Distance Ambulated in 6-Minute Walk Test |
210; 170 | 0.91 |
| SECONDARY Self-reported Barthel Index |
78.95; 78.79; 85.01; 84.27; 84.67; 83.65 | 0.96 |
| SECONDARY Discharge Disposition |
89; 94 | 0.37 |
| SECONDARY Rehospitalizations |
43; 42 | 0.85 |
Summary
The purpose of this study is to provide evidence that Enhanced Medical Rehabilitation is an effective treatment for older adults after disabling medical events.
Eligibility Criteria
Inclusion Criteria
- 65 and older
- Admitted to a skilled nursing facility for post-acute care from PT and OT for 2 weeks or more.
Exclusion Criteria
- Language, visual or hearing barriers to participation
- Medical illness preventing study participation or accurate data collection
- Moderate-severe dementia (demonstrated by chart diagnosis and/or short blessed score greater than 13)
- Progressive neurological condition such that recovery of function is not feasible
- Patient did not have the ability to walk prior to hospitalization (e.g. paraplegic)
- Schizophrenia or other chronic or current psychotic disorder.
Data sourced from ClinicalTrials.gov (NCT02114879). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.