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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT03139162
Other study ID # 74217
Secondary ID
Status Completed
Phase
First received
Last updated
Start date January 1, 2015
Est. completion date April 11, 2023

Study information

Verified date October 2022
Source School of Health Sciences Geneva
Contact n/a
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

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.


Recruitment information / eligibility

Status Completed
Enrollment 10000
Est. completion date April 11, 2023
Est. primary completion date December 31, 2015
Accepts healthy volunteers Accepts Healthy Volunteers
Gender All
Age group 18 Years and older
Eligibility 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

Study Design


Related Conditions & MeSH terms


Intervention

Other:
Swiss RAI-HC assessment
RAI-HC assessments done by trained nurses in clinical routine

Locations

Country Name City State
n/a

Sponsors (2)

Lead Sponsor Collaborator
School of Health Sciences Geneva Institution genevoise de maintien à domicile

References & Publications (4)

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. — View Citation

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. — View Citation

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. — View Citation

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. — View Citation

Outcome

Type Measure Description Time frame Safety issue
Primary Frailty Index Index with a value ranging from 0 to 100, computed as the sum of health deficits recorded with the RAI-HC MDS divided by the number of deficits considered 1 year
Primary Complexity Index Index with a value ranging from 0 to 100, computed as the sum of complexity items recorded with the RAI-HC MDS divided by the number of items considered 1 year
Secondary Falls Falls recorded by means of follow-up RAI-HC assessments 6 months on average
Secondary Hospitalizations Hospitalizations recorded by means of follow-up RAI-HC assessments 6 months on average
Secondary Mortality Deceased (yes/no); collected through administrative records through study completion, an average of 5 year
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