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NCT04139278

The Dynamics of Frailty in Older People

Status unknown Last updated 21 December 2020
What this trial tests

trial testing Observational in Frail Elderly Syndrome in 300,000 participants. Status unknown.

Timeline
21 July 2020
Primary endpoint
28 February 2022
28 February 2022

Quick facts

Lead sponsorUniversity of Southampton
StatusStatus unknown
Study typeOBSERVATIONAL
Enrollment300,000
Start date21 July 2020
Primary completion28 February 2022
Estimated completion28 February 2022
Sites1 location across United Kingdom

Drugs / interventions tested

Conditions studied

Sponsor

University of Southampton

Who can join

50 and older, any sex, with Frail Elderly Syndrome. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

In the context of reduced resources and rising demand for unplanned care, the delivery of appropriate services to support people with frailty will be key to providing cost-effective, quality care for older people. There is recognition of an evidence gap in relation to the planning, commissioning and delivery of services for older people living with frailty. Questions remain about the incidence and prevalence different levels of frailty and the consequences for health outcomes, health and care service use and costs. In this study, the investigators will explore the incidence and prevalence, development and impact of frailty within the population using retrospective primary care data on patients aged 50 and over in 2006 within the database. The investigators will stratify the cohort by severity of frailty and explore frailty status over time, determining incidence, prevalence and progression of frailty. The relationships between factors such as age, deprivation, ethnicity, location and comorbidities of individuals in relation to development of, and deterioration in, frailty status will be examined. The influence of frailty on outcomes, service use and costs will be explored. These analyses will be used to inform the development of a prototype simulation model, which will use a System Dynamics (SD) based approach to explore the development and impact of frailty in the population and likely future scenarios over a 10-year timeframe. Finally, 'what if' scenarios developed with the stakeholder engagement group will be explored via simulation modelling.

Publications & conference data

3 peer-reviewed publications reference this trial (live from Europe PMC):

  1. The dynamics of frailty development and progression in older adults in primary care in England (2006-2017): a retrospective cohort profile.
    Fogg C, Fraser SDS, Roderick P, de Lusignan S, et al · · 2022 · cited 34× · PMID 34991479 · DOI 10.1186/s12877-021-02684-y
  2. Impact of frailty in older people on health care demand: simulation modelling of population dynamics to inform service planning.
    Walsh B, Fogg C, England T, Brailsford S, et al · · 2024 · cited 8× · PMID 39487824 · DOI 10.3310/lkjf3976
  3. The Dynamics of Frailty Development and Progression in Older Adults in England (2006 – 2017): A Retrospective Cohort Profile
    Fogg C, Fraser SD, Roderick P, Lusignan S, et al · · 2021 · DOI 10.21203/rs.3.rs-547404/v1

Verify or expand the search:

Other trials of Observational

Trials testing the same drug.

Other recruiting trials for Frail Elderly Syndrome

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Other University of Southampton trials

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