Plain English Summary
Background and study aims
Older patients admitted to an cardiac care unit often experience functional decline and sustained disability. Geriatric co-management has demonstrated significant improvements on outcomes in older patients with a hip fracture, but has never been evaluated in the cardiac care setting.
This study introduced a new geriatric co-management programme on the cardiac care units of the University Hospitals Leuven. The aim was to evaluate whether this programme was acceptable and feasible to perform.
Who can participate?
Patients aged 75 years or older admitted for acute cadiovascular disease or transcatheter aortic valve implentation to the cardiac care units of the University Hospitals Leuven and healthcare professionals working on the acute cardiac care units of the University Hospitals Leuven.
What does the study involve?
On admission to the hospital, a comprehensive geriatric assessment was performed, care needs were determined, and an interdisciplinary care plan was drafted. A nurse from the geriatrics department provided daily follow-up until hospital discharge.
What are the possible benefits and risks of participating?
The programme was developed to benefit patients, including a better functional status and less complications. There are no direct risks.
Where is the study run from?
University Hospitals Leuven (Belgium)
When is the study starting and how long is it expected to run for?
January 2015 to May 2018
Who is funding the study?
Onderzoeksraad, KU Leuven (Research Council, KU Leuven), Belgium
Who is the main contact?
Dr Mieke Deschodt, firstname.lastname@example.org
Prof. Koen Milisen, email@example.com
Prof. Johan Flamaing, firstname.lastname@example.org
Dr Mieke Deschodt
Gerontology and Geriatrics
UZ Herestraat 49 - box 7003 35
+32 16 37 76 92
Prof Koen Milisen
Academisch Centrum voor Verpleeg- en Vroedkunde
Kapucijnenvoer 35 blok d - bus 7001
+32 16 37 79 79
Prof Johan Flamaing
Gerontology and Geriatrics
UZ Herestraat 49 - box 7003 35
+32 16 3 42647
Implementation of the Geriatric CO-mAnagement for Cardiology patients in the Hospital (G-COACH) programme: a feasibility study
Is a geriatric co-management programme implemented on the acute cardiac care units of the University Hospitals Leuven considered acceptable and feasible to perform?
Approved 03/08/2017, The Medical Ethics Committee of the University Hospitals Leuven (Ethische commissie onderzoek UZ Leuven, Herestraat 49, 3000 Leuven, Belgium; +32 16 34 86 00; email@example.com), ref: s59543
One-group experimental single centre feasibility study
Primary study design
Secondary study design
Non randomised study
Patient information sheet
No participant information sheet available
Older patients with geriatric profile admitted to cardiac care units
Nurse-led geriatric co-management programme, including a comprehensive geriatric assessment on hospital admission, risk stratification, daily follow-up by geriatrics team until hospital discharge, implementation of standardised and evidence-based protocols for geriatric syndromes, early rehabilitation, individual exercise programme, and early discharge planning.
Informed consent is obtained within three days of admission to the cardiac care unit (15 minutes). A nurse enrols the patient in the geriatric co-management programme (30 minutes). A researcher performs an interview and asks about the experiences with the programme (15 minutes). A researcher observes daily health status and whether there are any complications (10 minutes) until discharge from the cardiac care unit. The participation ends when discharged from the hospital.
Primary outcome measure
Experiences with the programme, including self-perceived acceptability and self-perceived feasibility, measured using structured interviews with questionnaires during hospitalisation.
Secondary outcome measures
Measured during hospitalisation on the cardiac care unit. This is case dependent (some patients have a long length of stay, others short) and there is no one fixed timepoint:
1. Reach of the programme, measured using registrations in the electronic patient record
2. Fidelity, measured suing registrations in the electronic patient record
3. Dose, measured suing registrations in the electronic patient record
4. Determinants for implementation, measured using a questionnaire and interviews
Overall trial start date
Overall trial end date
Reason abandoned (if study stopped)
Participant inclusion criteria
1. Patients aged 75 years or older admitted for acute cadiovascular disease or transcatheter aortic valve implentation to the cardiac care units of the University Hospitals Leuven
2. Healthcare professionals working on the acute cardiac care units of the University Hospitals Leuven
Target number of participants
3 sequential cohorts of 30 patients with follow-up in the geriatric co-management programme; All healthcare professionals with at least 4 weeks of exposure to the geriatric co-management programme
Total final enrolment
Participant exclusion criteria
1. Length of stay < 3 days
2. No baseline assessment (included transfers from other units or hospitals)
3. Unable to complete assessment
4. No inform consent
5. Receiving palliative care
Recruitment start date
Recruitment end date
Countries of recruitment
Trial participating centre
University Hospitals Leuven
Onderzoeksraad, KU Leuven
Research Council, KU Leuven
Funding Body Type
private sector organisation
Funding Body Subtype
Universities (academic only)
Results and Publications
Publication and dissemination plan
Presented at a conference (2019 Wintermeeting, Oostende, Belgium) and submitted for publication in a high-impact peer-reviewed journal.
IPD sharing statement:
The datasets generated during and/or analysed during the current study are/will be available upon request from Koen Milisen (firstname.lastname@example.org). Each request will be considered on a case basis. Reasonable requests include use of baseline data for epidemiological purposes.
Intention to publish date
Participant level data
Available on request
Basic results (scientific)
2018 protocol in https://doi.org/10.1136/bmjopen-2018-023593 (added 22/05/2020)