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Trial NCT00157612

Resource URI: http://static.linkedct.org/resource/trials/NCT00157612
linkedct:brief_title A Clinical Pathway for Nursing Home Acquired Pneumonia
linkedct:collaborator_agency <http://static.linkedct.org/resource/collabagency/1060>
linkedct:condition <http://static.linkedct.org/resource/condition/10215>
linkedct:condition <http://static.linkedct.org/resource/condition/7462>
linkedct:criteria Inclusion Criteria: - Symptoms or signs of lower respiratory tract infection as defined by standardized criteria. Exclusion Criteria: - Residents were excluded if they were not expected to live longer than 30 days from the date of enrollment, had a previous anaphylactic or serious allergic reaction to quinolones, had advanced directives that they are not be transferred to hospital for treatment.
linkedct:description 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.
linkedct:download_date Information obtained from ClinicalTrials.gov on December 30, 2009
linkedct:eligibility_gender Both
linkedct:eligibility_healthy_volunteers No
linkedct:eligibility_maximum_age N/A
linkedct:eligibility_minimum_age 64 Years
linkedct:end_date July 2005
linkedct:enrollment 680 (xsd:int)
linkedct:firstreceived_date September 7, 2005
linkedct:id NCT00157612
rdfs:label Trial NCT00157612
linkedct:lastchanged_date July 19, 2006
linkedct:lead_sponsor_agency Hamilton Health Sciences
linkedct:nct_id NCT00157612
linkedct:number_of_arms 0 (xsd:int)
linkedct:number_of_groups 0 (xsd:int)
linkedct:official_title A Randomized Control Trial of a Clinical Pathway for Nursing Home Pneumonia.
linkedct:org_study_id 00-1848
linkedct:overall_official <http://static.linkedct.org/resource/overall_official/38016>
linkedct:overall_status Completed
linkedct:oversight <http://static.linkedct.org/resource/oversight/415>
foaf:page <http://clinicaltrials.gov/show/NCT00157612>
linkedct:phase N/A
linkedct:primary_outcomes <http://static.linkedct.org/resource/primary_outcomes/10119>
linkedct:results_reference <http://static.linkedct.org/resource/results_reference/6067>
linkedct:secondary_id CRT-43826
linkedct:secondary_outcomes <http://static.linkedct.org/resource/secondary_outcomes/110005>
linkedct:secondary_outcomes <http://static.linkedct.org/resource/secondary_outcomes/16600>
linkedct:secondary_outcomes <http://static.linkedct.org/resource/secondary_outcomes/45541>
linkedct:secondary_outcomes <http://static.linkedct.org/resource/secondary_outcomes/50901>
linkedct:secondary_outcomes <http://static.linkedct.org/resource/secondary_outcomes/63123>
linkedct:source McMaster University
linkedct:start_date January 2001
linkedct:study_design Treatment, Randomized, Open Label, Active Control, Parallel Assignment, Efficacy Study
linkedct:study_type Interventional
linkedct:summary 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.
rdf:type linkedct:trials
linkedct:verification_date September 2005