title: [Impact of a multidimensional intervention in elderly patients with community-acquired pneumonia: IMIEPCAP clinical trial].
abstract: BACKGROUND
  The main objective of this study is to determine whether a multidimensional intervention applied to elderly patients admitted to hospital due to pneumonia reduces re-admissions and emergency department visits in the year after the intervention.
  
  
  METHODS
  This is a single-centre non-pharmacological randomised clinical trial with a parallel design. Three hundred and fourteen patients will be included (157 in each arm). Eligible patients will be ≥65 years old and with a Barthel index ≥60 that are admitted to hospital due to pneumonia. Participants will be randomised to multidimensional intervention or to control group. Two months after hospital discharge the intervention group will receive a geriatric intervention, carried out by a nurse and a physician. It will include assessment of co-morbidities, nutritional, functional and cognitive status, and immunisation. The control group will receive conventional follow-up. The number of re-admissions, visits to the emergency department, functional status, survival, and institutionalisation will be evaluated one year after intervention. If the intervention shows an improvement in the studied outcomes, it would allow us to improve individual outcomes, and indirectly reduce healthcare costs using a relatively simple, standardised tool.
authors.affiliation: Unidad de Geriatría, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, España. Electronic address: otorres@santpau.cat.
authors.forename: Olga Herminia
authors.initials: OH
authors.lastname: Torres
authors.affiliation: Unidad de Infecciosas, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, España.
authors.forename: Eva
authors.initials: E
authors.lastname: Gil
authors.affiliation: Unidad de Geriatría, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, España.
authors.forename: Maria Teresa
authors.initials: MT
authors.lastname: Comas
authors.affiliation: Unidad de Geriatría, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, España.
authors.forename: Maria Encarnación
authors.initials: ME
authors.lastname: Saez
authors.affiliation: Servicio de Medicina Interna, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, España.
authors.forename: Sandra
authors.initials: S
authors.lastname: Clotet
authors.affiliation: Servicio de Medicina Interna, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, España.
authors.forename: Hector David
authors.initials: HD
authors.lastname: Ramirez
authors.affiliation: Servicio de Urgencias, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, España.
authors.forename: Miriam
authors.initials: M
authors.lastname: Mateo
authors.affiliation: Unidad de Geriatría, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, España.
authors.forename: Domingo
authors.initials: D
authors.lastname: Ruiz
mesh_terms: D000368:Aged; D017714:Community-Acquired Infections / Q000628:therapy*; D004636:Emergency Service, Hospital; D005260:Female; D015577:Geriatric Assessment; D006760:Hospitalization; D006801:Humans; D008297:Male; D010351:Patient Discharge; D011014:Pneumonia / Q000628:therapy*
keywords: Ancianos; Clinical trial; Comprehensive geriatric assessment; Elderly; Ensayo clínico; Neumonía; Pneumonia; Prevención secundaria; Secondary prevention; Valoración geriátrica integral