Title |
The low indexes of metabolism intervention trial (LIMIT): design and baseline data of a randomized controlled clinical trial to evaluate how alerting primary care teams to low metabolic values, could affect the health of patients aged 75 or older
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Published in |
BMC Health Services Research, January 2018
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DOI | 10.1186/s12913-017-2812-0 |
Pubmed ID | |
Authors |
Nir Tsabar, Yan Press, Johanna Rotman, Bracha Klein, Yonatan Grossman, Maya Vainshtein-Tal, Sophia Eilat-Tsanani |
Abstract |
Too-low body mass index (BMI), HbA1c% or cholesterol levels predicts poor survival. This study investigates whether e-mails about these low values, improve health of people older than 75 years. LIMIT - an open label randomized trial - compares usual care to the addition of an e-mail which alerts the family physicians and nurses to low metabolic indexes of a specific patient and advises on nutritional and medical changes. Clalit Health Services (CHS) patients in the Northern and Southern Districts, aged ≥75 years with any of the following inclusion criteria: a. Significant weight loss: BMI < 23 kg/m2 with BMI drop of ≥2 kg/m2 during previous two years and without dietitian counseling during previous year. b. Tight diabetic control: HbA1c% ≤ 6.5% and received anti-diabetic medicines during previous 2 months. c. Drug associated hypocholesterolemia: total cholesterol <160 mg/dL and received cholesterol-lowering medicines during previous 2 months. Excluded from criterion c, were patients diagnosed with either ischemic heart disease, transient ischemic attack or stroke. The primary outcome was death from any cause, within one year. In a population of 48,623 people over the age of 75 years, 8584 (17.7%) patients were identified with low metabolic indices and were randomized to intervention or control groups. E-mails were sent on November 2015 to physicians and nurses at 383 clinics. Low metabolic reserve is common in people in Israel's peripheral districts aged ≥75 years. LIMIT may show whether alerting primary care staff is beneficial. ClinicalTrials.gov NCT02476578 . Registered on June 11, 2015. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 133 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Master | 18 | 14% |
Researcher | 14 | 11% |
Student > Bachelor | 12 | 9% |
Unspecified | 10 | 8% |
Student > Ph. D. Student | 9 | 7% |
Other | 25 | 19% |
Unknown | 45 | 34% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 30 | 23% |
Nursing and Health Professions | 21 | 16% |
Unspecified | 10 | 8% |
Psychology | 7 | 5% |
Business, Management and Accounting | 3 | 2% |
Other | 13 | 10% |
Unknown | 49 | 37% |