G-COACH: Feasibility of the geriatric co-management for cardiology patients in the hospital programme
| ISRCTN | ISRCTN22096382 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN22096382 |
| Secondary identifying numbers | REF 22/15/028 |
- Submission date
- 21/05/2020
- Registration date
- 23/05/2020
- Last edited
- 26/10/2022
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Circulatory System
Plain English Summary
Background and study aims
Older patients admitted to an cardiac care unit often experience functional decline and sustained disability. Geriatric co-management has demonstrated significant improvements on outcomes in older patients with a hip fracture, but has never been evaluated in the cardiac care setting.
This study introduced a new geriatric co-management programme on the cardiac care units of the University Hospitals Leuven. The aim was to evaluate whether this programme was acceptable and feasible to perform.
Who can participate?
Patients aged 75 years or older admitted for acute cadiovascular disease or transcatheter aortic valve implentation to the cardiac care units of the University Hospitals Leuven and healthcare professionals working on the acute cardiac care units of the University Hospitals Leuven.
What does the study involve?
On admission to the hospital, a comprehensive geriatric assessment was performed, care needs were determined, and an interdisciplinary care plan was drafted. A nurse from the geriatrics department provided daily follow-up until hospital discharge.
What are the possible benefits and risks of participating?
The programme was developed to benefit patients, including a better functional status and less complications. There are no direct risks.
Where is the study run from?
University Hospitals Leuven (Belgium)
When is the study starting and how long is it expected to run for?
January 2015 to May 2018
Who is funding the study?
Onderzoeksraad, KU Leuven (Research Council, KU Leuven), Belgium
Who is the main contact?
Dr Mieke Deschodt, mieke.deschodt@kuleuven.be
Prof. Koen Milisen, koen.milisen@kuleuven.be
Prof. Johan Flamaing, johan.flamaing@uzleuven.be
Contact information
Scientific
Gerontology and Geriatrics
UZ Herestraat 49 - box 7003 35
Leuven
3000
Belgium
 ORCID ID |
0000-0003-1560-2277 |
|---|---|
| Phone | +32 16 37 76 92 |
| mieke.deschodt@kuleuven.be |
Scientific
Academisch Centrum voor Verpleeg- en Vroedkunde
Kapucijnenvoer 35 blok d - bus 7001
Leuven
3000
Belgium
| ORCID ID |
0000-0001-9230-1246 |
|---|---|
| Phone | +32 16 37 79 79 |
| koen.milisen@kuleuven.be |
Scientific
Gerontology and Geriatrics
UZ Herestraat 49 - box 7003 35
Leuven
3000
Belgium
| Phone | +32 16 3 42647 |
|---|---|
| johan.flamaing@uzleuven.be |
Study information
| Study design | One-group experimental single centre feasibility study |
|---|---|
| Primary study design | Interventional |
| Secondary study design | Non randomised study |
| Study setting(s) | Hospital |
| Study type | Other |
| Participant information sheet | No participant information sheet available |
| Scientific title | Implementation of the Geriatric CO-mAnagement for Cardiology patients in the Hospital (G-COACH) programme: a feasibility study |
| Study acronym | G-COACH |
| Study hypothesis | Is a geriatric co-management programme implemented on the acute cardiac care units of the University Hospitals Leuven considered acceptable and feasible to perform? |
| Ethics approval(s) | Approved 03/08/2017, The Medical Ethics Committee of the University Hospitals Leuven (Ethische commissie onderzoek UZ Leuven, Herestraat 49, 3000 Leuven, Belgium; +32 16 34 86 00; ec@uzleuven.be), ref: s59543 |
| Condition | Older patients with geriatric profile admitted to cardiac care units |
| Intervention | Nurse-led geriatric co-management programme, including a comprehensive geriatric assessment on hospital admission, risk stratification, daily follow-up by geriatrics team until hospital discharge, implementation of standardised and evidence-based protocols for geriatric syndromes, early rehabilitation, individual exercise programme, and early discharge planning. Informed consent is obtained within three days of admission to the cardiac care unit (15 minutes). A nurse enrols the patient in the geriatric co-management programme (30 minutes). A researcher performs an interview and asks about the experiences with the programme (15 minutes). A researcher observes daily health status and whether there are any complications (10 minutes) until discharge from the cardiac care unit. The participation ends when discharged from the hospital. |
| Intervention type | Other |
| Primary outcome measure | Experiences with the programme, including self-perceived acceptability and self-perceived feasibility, measured using structured interviews with questionnaires during hospitalisation. |
| Secondary outcome measures | Measured during hospitalisation on the cardiac care unit. This is case dependent (some patients have a long length of stay, others short) and there is no one fixed timepoint: 1. Reach of the programme, measured using registrations in the electronic patient record 2. Fidelity, measured suing registrations in the electronic patient record 3. Dose, measured suing registrations in the electronic patient record 4. Determinants for implementation, measured using a questionnaire and interviews |
| Overall study start date | 28/01/2015 |
| Overall study end date | 31/05/2018 |
Eligibility
| Participant type(s) | Mixed |
|---|---|
| Age group | Mixed |
| Sex | Both |
| Target number of participants | 3 sequential cohorts of 30 patients with follow-up in the geriatric co-management programme; All healthcare professionals with at least 4 weeks of exposure to the geriatric co-management programme |
| Total final enrolment | 199 |
| Participant inclusion criteria | 1. Patients aged 75 years or older admitted for acute cadiovascular disease or transcatheter aortic valve implentation to the cardiac care units of the University Hospitals Leuven 2. Healthcare professionals working on the acute cardiac care units of the University Hospitals Leuven |
| Participant exclusion criteria | 1. Length of stay < 3 days 2. No baseline assessment (included transfers from other units or hospitals) 3. Unable to complete assessment 4. No inform consent 5. Receiving palliative care |
| Recruitment start date | 07/11/2017 |
| Recruitment end date | 02/05/2018 |
Locations
Countries of recruitment
- Belgium
Study participating centre
Leuven
3000
Belgium
Sponsor information
University/education
Oude markt 13
Leuven
3000
Belgium
| Phone | +32 16 3 24010 |
|---|---|
| onderzoek@kuleuven.be | |
| Website | https://www.kuleuven.be/english/ |
"ROR" |
https://ror.org/05f950310 |
Funders
Funder type
Research council
Private sector organisation / Universities (academic only)
- Alternative name(s)
- Research Council, KU Leuven
- Location
- Belgium
Results and Publications
| Intention to publish date | 30/06/2022 |
|---|---|
| Individual participant data (IPD) Intention to share | Yes |
| IPD sharing plan summary | Available on request |
| Publication and dissemination plan | Presented at a conference (2019 Wintermeeting, Oostende, Belgium) and submitted for publication in a high-impact peer-reviewed journal. |
| IPD sharing plan | The datasets generated during and/or analysed during the current study are/will be available upon request from Koen Milisen (koen.milisen@kuleuven.be). Each request will be considered on a case basis. Reasonable requests include use of baseline data for epidemiological purposes. |
Study outputs
| Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
|---|---|---|---|---|---|
| Protocol article | protocol | 01/10/2018 | 22/05/2020 | Yes | No |
| Results article | 02/05/2022 | 26/10/2022 | Yes | No |
Editorial Notes
26/10/2022: Publication reference added.
04/06/2021: The intention to publish date has been changed from 30/06/2021 to 30/06/2022.
04/12/2020: The intention to publish date has been changed from 30/06/2020 to 30/06/2021.
22/05/2020: Trial’s existence confirmed by UZ Leuven.
