Development of Clinical Indicators From the Swiss RAI-HC

Completed

• Conditions: Frail Elderly Syndrome

• Registration Number: NCT03139162
• Lead Sponsor: School of Health Sciences Geneva

Brief 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.

Detailed Description

Not available

Study Timeline

• Study Start: 2015-01-01
• Primary Completion: 2015-12-31
• Study First Submitted: 2017-04-24
• Study First Submitted QC: 2017-05-02
• Study First Posted: 2017-05-03
• Status Verified: 2022-10
• Study Completion: 2023-04-11
• Last Update Submitted: 2023-04-11
• Last Update Posted: 2023-04-12

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 10000

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

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Frailty Index	1 year	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
Complexity Index	1 year	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

Secondary Outcome Measures

Name	Time	Method
Falls	6 months on average	Falls recorded by means of follow-up RAI-HC assessments
Hospitalizations	6 months on average	Hospitalizations recorded by means of follow-up RAI-HC assessments
Mortality	through study completion, an average of 5 year	Deceased (yes/no); collected through administrative records