Status:

COMPLETED

Trial of a Medical and Mental Health Unit for Older People

Lead Sponsor:

University of Nottingham

Collaborating Sponsors:

National Institute for Health Research, United Kingdom

Nottingham University Hospitals NHS Trust

Conditions:

Dementia

Confusion

Eligibility:

All Genders

65-120 years

Phase:

NA

Brief Summary

This research is an evaluation of the MMHU compared to standard care. Patients who are over 65 and 'confused' at admission will be randomly allocated to the MMHU or standard care. The MMHU does not ha...

Detailed Description

The objectives of this study are: 1. To evaluate whether a specialist multidisciplinary MMHU for older people with 'confusion', admitted to a general hospital as an emergency, is associated with bett...

Eligibility Criteria

Inclusion

  • Patient participants will be over 65, admitted as an emergency to Nottingham University Hospital NHS Trust, with an established or possible physical health problem and concurrent 'confusion', clinically eligible for management on the Medical and Mental Health Unit.
  • Carer participants will be a family member or carer, in regular contact with the patient participant, to serve both as an informant, and, and to study carer health and outcomes.
  • Confusion will be loosely defined, including working diagnoses of:
  • Delirium
  • Dementia
  • Dementia with a suspicion of super-added delirium

Exclusion

  • Those who require sectioning under the Mental Health Act
  • Those with intoxication to illicit drugs or alcohol, or the immediate care of patients with overdose
  • Those with a primary psychiatric problem in the absence of suspected significant physical or functional co-morbidity.
  • Those who are severely medically ill, requiring intensive monitoring or therapy (critical care), or sub-specialist medical intervention (e.g. severe acute GI bleeding, respiratory support).
  • Those with an overriding clinical need for management in another service e.g. stroke, orthogeriatric, renal, oncology.
  • Those with personality disorder, depression or anxiety as the primary psychiatric diagnosis.
  • Those who are registered with a non - Nottingham Primary Care Trust General Practitioner.
  • Those who do not speak English and have no family translator.

Key Trial Info

Start Date :

July 1 2010

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

June 1 2012

Estimated Enrollment :

600 Patients enrolled

Trial Details

Trial ID

NCT01136148

Start Date

July 1 2010

End Date

June 1 2012

Last Update

December 3 2015

Active Locations (1)

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1

Nottingham University Hospitals NHS Trust

Nottingham, Nottingham, United Kingdom, NG7 2UH