Protocol of Geriatric Rehabilitation in Patients of 60 and Older Who Live in Moscow Boarding Houses or Nursing Homes
- Conditions
- Frail Elderly Syndrome
- Interventions
- Other: Geriatric rehabilitation program based on CGA
- Registration Number
- NCT05740436
- Lead Sponsor
- Pirogov Russian National Research Medical University
- Brief Summary
After screening complex geriatric assessment (CGA) the participants will undergo geriatric rehabilitation programs. After termination of 21-day program, CGA will be repeated and subjects will get a program of long-term rehabilitation. A phone call in six months and a face-to-face visit in 12 months will be scheduled to follow-up and to evaluate the progress in rehabilitation.
- Detailed Description
After screening complex geriatric assessment (CGA) the participants will undergo geriatric rehabilitation programs. The participation duration will not exceed 13.5 months including the screening period.
The study comprises three periods:
* screening (1-14 days)
* a treatment course of 21 days
* a follow-up period of 12 months On screening visit Study procedures will include
* Informed consent signing
* The Comprehensive Geriatric Assessment (CGA)
* The recommendations on a program of geriatric rehabilitation based on CGA
Visit 2 will be performed at the end of rehabilitation program. It will include:
* The abbreviated CGA
* The evaluation of the results of 21-days geriatric rehabilitation program
* The recommendations on a long-term geriatric rehabilitation
Visit 3 will be scheduled in 3 months after Visit 2 as a phone call. Special questionnaire will be suggested to study subjects. The questionnaire includes questions on implementation of a geriatric rehabilitation program and on quality of life
Visit 4- the last study visit will be performed in 12 months after Visit 2. It will include CGA and study completion procedures.
Recruitment & Eligibility
- Status
- ACTIVE_NOT_RECRUITING
- Sex
- All
- Target Recruitment
- 420
-
Men and women aged 60 and older who wanted to participate in the study and signed a consent form.
-
One or more indications for geriatric rehabilitation:
- A discharge after a hospitalization due to an acute illness (excluding stroke and myocardial infarction), trauma, surgery, including planned ones.
- A condition leading to an acute impairment of functional status (stress, etc.)
- Newly admitted patients
- Abnormalities of gait and mobility (R26)
-
One or more contraindications to geriatric rehabilitation:
- Severe sensory and cognitive impairment hampering rehabilitation
- End stage diseases requiring palliative care
- End stage frailty (bedridden patients)
-
An acute illness or an exacerbation of a chronic disease during two weeks before the enrollment in the study
-
A contradiction to any component of a rehabilitation program
-
Hearing or visual lost that can influence on study tests results
-
Refuse to participate in the study -
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description Frail elderly subjects Geriatric rehabilitation program based on CGA Frail subjects of 60 years and older will get geriatric rehabilitation program based on CGA Pre-Frail elderly subjects Geriatric rehabilitation program based on CGA Pre-Frail subjects of 60 years and older will get geriatric rehabilitation program based on CGA Non-frail elderly Frail subjects Geriatric rehabilitation program based on CGA Non-frail Frail subjects of 60 years and older will get geriatric rehabilitation program based on CGA
- Primary Outcome Measures
Name Time Method functional status dynamics 13 months Instrumental Activity Daily Life scale score
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Russian Research and Clinical Center for Gerontology
🇷🇺Moscow, Russian Federation