Development of Clinical Indicators From the Swiss RAI-HC

Frail Elderly Syndrome Clinical Trial

— IndiRAI  

Official title:

Development of Frailty and Complexity Indices From Data Collected With Resident Assessment Instrument - Home Care Adapted for Switzerland

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03139162
• Other study ID #: 74217
• Status: Completed
• 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
• 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

Related Conditions & MeSH terms

• Frail Elderly Syndrome

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