Development of Clinical Indicators From the Swiss RAI-HC

NCT ID: NCT03139162

Last Updated: 2023-04-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

10000 participants

Study Classification

OBSERVATIONAL

Study Start Date

2015-01-01

Study Completion Date

2023-04-11

Brief Summary

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The project aims at deriving frailty (FI) and complexity (CI) indices from data collected with the Resident Instrument Assessment - Home Care adapted for Switzerland (RAI-HC). Data were collected in 2015 by trained nurses in clinical routine with the primary purposes of health state assessment and individual home care planning. The study consists in a retrospective secondary analysis of health data from the Minimal Data Set (MDS), used to derive frailty and complexity indices according to published definitions and guidelines for index derivation. The analysis further aims at estimating the predictive power of these indices on undesirable health outcomes (falls, hospitalizations and deaths). The goal is to provide home care institutions and nurses valid algorithms to compute useful clinical indicators without additional assessment that the one routinely done with the RAI-HC.

Detailed Description

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Conditions

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Frail Elderly Syndrome

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Interventions

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Swiss RAI-HC assessment

RAI-HC assessments done by trained nurses in clinical routine

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Men and women aged 18 or older who were assessed in 2015 with the Swiss RAI-HC in clinical routine for care planning by the Geneva Institution for Home care and Assistance (imad) in Geneva, Switzerland

Exclusion Criteria

* Men and women aged 17 or younger and/or who did not receive a full RAI-HC assessment in 2015
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Institution genevoise de maintien à domicile

UNKNOWN

Sponsor Role collaborator

School of Health Sciences Geneva

OTHER

Sponsor Role lead

Responsible Party

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Catherine Ludwig

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Catherine Ludwig, PhD

Role: PRINCIPAL_INVESTIGATOR

School of Health Sciences Geneva

References

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Hubbard RE, Peel NM, Samanta M, Gray LC, Fries BE, Mitnitski A, Rockwood K. Derivation of a frailty index from the interRAI acute care instrument. BMC Geriatr. 2015 Mar 18;15:27. doi: 10.1186/s12877-015-0026-z.

Reference Type BACKGROUND
PMID: 25887105 (View on PubMed)

Loeb DF, Binswanger IA, Candrian C, Bayliss EA. Primary care physician insights into a typology of the complex patient in primary care. Ann Fam Med. 2015 Sep;13(5):451-5. doi: 10.1370/afm.1840.

Reference Type BACKGROUND
PMID: 26371266 (View on PubMed)

Morris JN, Fries BE, Steel K, Ikegami N, Bernabei R, Carpenter GI, Gilgen R, Hirdes JP, Topinkova E. Comprehensive clinical assessment in community setting: applicability of the MDS-HC. J Am Geriatr Soc. 1997 Aug;45(8):1017-24. doi: 10.1111/j.1532-5415.1997.tb02975.x.

Reference Type BACKGROUND
PMID: 9256857 (View on PubMed)

Armstrong JJ, Stolee P, Hirdes JP, Poss JW. Examining three frailty conceptualizations in their ability to predict negative outcomes for home-care clients. Age Ageing. 2010 Nov;39(6):755-8. doi: 10.1093/ageing/afq121. Epub 2010 Sep 21. No abstract available.

Reference Type BACKGROUND
PMID: 20858672 (View on PubMed)

Ludwig C, Busnel C. Derivation of a frailty index from the resident assessment instrument - home care adapted for Switzerland: a study based on retrospective data analysis. BMC Geriatr. 2017 Sep 7;17(1):205. doi: 10.1186/s12877-017-0604-3.

Reference Type DERIVED
PMID: 28882127 (View on PubMed)

Other Identifiers

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74217

Identifier Type: -

Identifier Source: org_study_id

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