An Algorithm for Predicting Death Among Older Adults in the Home Care Setting: Study Protocol for the Risk Evaluation for Support: Predicting Elder Life in the Community Tool (RESPECT)
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 486,000
- 主要终点
- 6-month Mortality
研究概览
简要总结
To develop a mortality risk prediction model that can be applied to the wide spectrum of risks that are seen in the home care setting.
详细描述
ABSTRACT
Introduction: Older adults living in the community often have multiple, chronic conditions and functional impairments. A challenge for healthcare providers working in the community is the lack of a predictive tool that can be applied to the broad spectrum of mortality risks observed and may be used to inform care planning.
Objective: To develop a mortality risk prediction model for older adults in the home care setting. The final algorithm will be implemented as a web-based calculator that can be used by older adults needing care, as well as their informal and formal caregivers.
Design: Open cohort study using the Resident Assessment Instrument for Home Care (RAI-HC) data in Ontario, Canada, from January 1, 2007, to December 31, 2013.
Participants: The derivation cohort will consist of approximately 437 000 home care recipients from January 1, 2007, to December 31, 2012. A split sample validation cohort will include approximately 122 000 recipients from January 1 to December 31, 2013.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 50 Years 至 105 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Have received a structured RAI-HC assessment
- •Between 50 and 105 years of age
排除标准
- •Not eligible for Ontario's universal health insurance program (OHIP)
- •Did not receive a structured RAI-HC assessment
结局指标
主要结局
6-month Mortality
时间窗: 6 months
Mortality status at 6 months after receiving a structured Resident Assessment Instrument for Home Care (RAI-HC) Assessment.
次要结局
- 12-month Mortality(12 months)