Prevalence of Musculoskeletal Complaints in Nursing Home Residents
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 100
- 试验地点
- 1
- 主要终点
- The prevalence of joint complaints in nursing home residents with and without dementia.
研究概览
简要总结
The goal of this observational study is to investigate the prevalence of joint complaints in nursing home residents with and without dementia.
Primary objective: Number of tender or swollen joints.
Secondary objectives:
- Only when it is possible for the nursing home resident to provide us this information: how nursing home residents themselves assess the severity of their joint complaints that day (at that time). If the nursing home resident cannot answer this question (reliably), the investigators use the Pain Assessment Checklist for Seniors with Severe Dementia (PACSLAC-D).
- Investigate mobility limitations among nursing home residents.
- To understand whether an accurate (differential) diagnosis for the joint complaints is reported in the electronic files.
During the study, a standard physical examination of the musculoskeletal system will performed. Nursing home residents allocated in group 1 (no dementia) also provide an answer on 3 non-incriminating questions (severity of joint complaints, pain in general and general health).
Nursing home residents allocated in group 2 (dementia) answer, if possible, 1 non-incriminating question (pain in joints at that moment). These question(s) and the physical examination are also widely used in daily clinical practice. No further incriminating questions or questionnaires will be administered. If the nursing home resident cannot answer this question (reliably), the investigators use the PACSLAC-D.
详细描述
Rationale: In older people, alterations in symptom presentation of Rheumatic and Musculoskeletal Diseases (RMDs), objective signs of disease and presence of co-morbidities can pose diagnostic problems and contribute to both over- and undertreatment of RMDs. This is especially the case in nursing home residents. Insight into the prevalence of RMDs and RMD related pain in nursing home residents is currently low. Early recognition and tailored treatment of RMDs may however prevent further loss of mobility, improve quality of life and the quality of medical care of nursing homes residents.
Objectives:
Primary objective: to investigate the prevalence of joint complaints in nursing home residents with and without dementia (major neurocognitive disorder according to DSM-5 criteria). Our definition of joint complaints is: number of tender and / or swollen joints.
Secondary objectives:
- Only when it is possible for the nursing home resident to provide us this information: how nursing home residents themselves assess the severity of their joint complaints that day (at that time). If the nursing home resident cannot answer this question (reliably), the investigators use the Pain Assessment Checklist for Seniors with Severe Dementia (PACSLAC-D).
- Investigate mobility limitations among nursing home residents.
- To understand whether an accurate (differential) diagnosis for the joint complaints is reported in the electronic files.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- 未提供
排除标准
- 未提供
结局指标
主要结局
The prevalence of joint complaints in nursing home residents with and without dementia.
时间窗: Day 1
Our definition of joint complaints is: number of tender and / or swollen joints.
次要结局
- The severity of their joint complaints that day.(Day 1)
- Amount and severity of mobility limitations among nursing home residents.(Day 1)
- Information on whether an accurate (differential) diagnosis for the joint complaints is reported in the electronic files.(Day 1)