Status:

RECRUITING

Reforça't: A Community, Social, and Healthcare Program for Patients With Cardiorespiratory Conditions Upon Hospital Discharge

Lead Sponsor:

Corporació de Salut del Maresme i la Selva

Collaborating Sponsors:

Consorci Sanitari de Terrassa

Conditions:

Chronic Obstructive Lung Disease (COLD)

Heart Failure

Eligibility:

All Genders

65+ years

Phase:

NA

Brief Summary

The goal of this randomized clinical trial is to determine whether an interdisciplinary, community-based intervention can reduce 30-day hospital readmissions and improve functional outcomes in patient...

Eligibility Criteria

Inclusion

  • Users admitted to the Polivalent Observation Units, Internal Medicine, or Hospital at home.
  • Individuals aged 65 years or older.
  • Hospital admission due to decompensation of a cardiac, respiratory, or mixed condition.
  • Place of residence within the health coverage area of Sant Jaume de Calella Hospital - Corporació de Salut del Maresme i la Selva.
  • Willingness to participate in the study as gathered by the signing of an informed consent document

Exclusion

  • Users institutionalized in a nursing home
  • Users already enrolled in home care programs
  • Users in the Advanced Chronic Care Model program with a limited life prognosis
  • Users on the waiting list for organ transplantation
  • Users with language barriers
  • Users with a GDS (Global Deterioration Scale) score of 5 or higher
  • Users who have already been included in the Reforça't program

Key Trial Info

Start Date :

January 13 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

June 30 2026

Estimated Enrollment :

200 Patients enrolled

Trial Details

Trial ID

NCT06897410

Start Date

January 13 2025

End Date

June 30 2026

Last Update

May 30 2025

Active Locations (1)

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Hospital Comarcal de Calella - Corporació de Salut del Maresme i la Selva

Calella, Barcelona, Spain, 08370