Effectiveness Analysis of Inpatient Geriatric Rehabilitation According to the Valensian Model
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 753
- 试验地点
- 1
- 主要终点
- Cumulative Health Rating Scale (CIRS)
研究概览
简要总结
Due to demographic change in Switzerland, the proportion of older people in the population is expected to increase. It is therefore important that people in old age remain in the best of health and maintain their independence for a long time.
To this end, the investigators would like to demonstrate the effectiveness of inpatient geriatric rehabilitation at the Valens clinics. This will be done by comparing independence, quality of life, physical and mental health, mobility and hand strength on admission and discharge.
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
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •All patients who were treated as inpatients at the Kliniken Valens Geriatric Rehabilitation according to ICF criteria between 2020 and 2023 will be included.
- •Signed the general consent for the further use of their health-related data for research, version 1.2, dated November 18, 2019.
排除标准
- •No written consent was provided.
结局指标
主要结局
Cumulative Health Rating Scale (CIRS)
时间窗: At baseline (upon hospital admission and study enrollment)
The Cumulative Illness Rating Scale is a tool used to measure the overall burden of chronic illnesses across multiple organ systems. Each system is rated from 0 (no problem) to 4 (severe problem), and the scores are added up to reflect a patient's total morbidity. It is commonly used in geriatrics to assess multimorbidity and help predict health outcomes.
Classification of diagnosis into internal medicine, neurological, or orthopedic/surgical categories
时间窗: At baseline (upon hospital admission and study enrollment)
Number of participants with diagnoses are divided into 3 groups: internal medicine, neurology and orthopedic/surgical. The diagnoses are determined and documented at hospital admission based on prior clinical assessments, laboratory results, and imaging studies. They are classified into one of three categories: Internal medicine (e.g., cardiovascular, respiratory diseases), Neurological (e.g., stroke, neuropathies) or Orthopedic/surgical (e.g., fractures, joint disorders). This classification reflects the patient's primary diagnosis at the time of study enrollment.
Functional Independence Measure (FIM)
时间窗: At baseline (upon hospital admission and study enrollment) and at discharge from the clinic after a stay of approx. 21 days
The FIM assesses how independently a person can perform daily activities. It uses an 18-item scale covering motor and cognitive tasks, each rated from 1 (total assistance needed) to 7 (complete independence). The total score reflects the level of disability and the amount of assistance required for daily living. Higher scores mean greater independence.
Health-related quality of life (EQ5D-5VAS)
时间窗: At baseline (upon hospital admission and study enrollment) and at discharge from the clinic after a stay of approx. 21 days
The EQ-5D-5VAS is a brief, standardized questionnaire for measuring health-related quality of life. It consists of two parts Descriptive system: Assesses five dimensions-mobility, self-care, usual activities, pain/discomfort, and anxiety/depression-each with five levels of severity, allowing patients to describe their health state precisely and Visual Analogue Scale (VAS): Patients rate their overall health on a scale from 0 (worst imaginable health) to 100 (best imaginable health), providing a quantitative self-assessment
Patient Reported Outcomes Measurement Information System - (PROMIS-10)
时间窗: At baseline (upon hospital admission and study enrollment) and at discharge from the clinic after a stay of approx. 21 days
It is a short, 10-item questionnaire that measures subjective physical and mental health from the patient's perspective. It covers areas like physical function, pain, fatigue, emotional distress and social health. It helps researchers understand how the patients are feeling in terms of both body and mind. Higher scores indicate better health.
Timed Up and Go Test (TUG)
时间窗: At baseline (upon hospital admission and study enrollment) and at discharge from the clinic after a stay of approx. 21 days
The Timed Up and Go (TUG) test is a simple test for assessing mobility and balance. The person stands up from a chair, walks three meters, turns around, walks back, and sits down again. The time required to complete the task is measured.
Grip strength measured by the Jamar Hand Dynamometer
时间窗: At baseline (upon hospital admission and study enrollment) and at discharge from the clinic after a stay of approx. 21 days
The Jamar Hand Dynamometer is a standardized instrument used to measure grip strength, which reflects the maximum force exerted by the hand muscles during a squeeze. The grip strength is an important functional outcome and indicator of overall muscle strength and physical health. It is a reliable, non-invasive, and easy-to-administer test that provides valuable information about the participant's muscular strength and functional status. Participants will be asked to squeeze the dynamometer handle with maximum effort for a few seconds. The device will record the force applied, reported in kilograms.
次要结局
- Age of participants(At baseline (upon hospital admission and study enrollment))
- Gender of participants(At baseline (upon hospital admission and study enrollment))
- Marital status of participants(At baseline (upon hospital admission and study enrollment))
- Place of residence of participants(At baseline (upon hospital admission and study enrollment))
- Length of hospital stay(From the beginning of the study (at hospitalization and admission to the study) until discharge from the clinic after a stay of approx. 21 days)