Trends of Patient-reported Outcome Measures (PROMs) in Multimorbid Medical Patients Hospitalized for an Acute Illness
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 1,000
- 试验地点
- 1
- 主要终点
- Correlation of PROMS with the risk of readmission
研究概览
简要总结
currently, PROMs and PREMs are not routinely collected and compared among medical inpatients of Swiss university hospitals, nor is a standard set of PROMs and PREMs available for use in Swiss hospitals. The project aims to examine trends in patient-reported outcomes (PROMs), including symptoms, quality of life, and distress, in multimorbid hospitalized patients from admission to 30 days post-discharge. It will also investigate whether PROMs at discharge are linked to the risk of readmission or emergency visits and explore how these outcomes differ in patients who receive low-value care. Additionally, the project will assess the relationship between patient-reported experiences (PREMs) and the provision of low-value care during the hospital stay.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •eligible for the LUCID registry (CER-VD AO_2023-00029) [Age ≥ 18 years, hospitalized in one of the five participating university hospitals (Geneva, Lausanne, Bern, Zürich, Basel), after 01.01.2014, and admitted to general internal medicine wards
- •Multimorbid patients (2 or more chronic diseases, defined as chronic conditions defined by international classification of diseases, 10th revision, codes with an estimated expected duration of at least 6 months or based on a clinical decision.
- •Acute illness
- •Signature of study specific informed consent
排除标准
- •Not able to speak French, German or English
- •Foreseen length of stay of less than 4 days (estimated by study collaborators)
- •Prior inclusion in the TRADUCE study
- •Incapacity of discernment, i.e. cognitive impairment which could interfere with the ability to fill in PROMs tools
结局指标
主要结局
Correlation of PROMS with the risk of readmission
时间窗: Day 1, Day 3, at the day of discharge (approximately day 8) and Day 30 after discharge from Hospital
The primary objective of the project is to explore trends in PROMs (using the Edmonton Symptom Assessment System (ESAS-r), the EQ-5D-5L index,45 and the National Comprehensive Cancer Network (NCCN) distress thermometer) of multimorbid medical hospitalized patients, from admission until 30-days post-discharge. The patients-reported outcomes will consist of patients-reported symptoms, quality of life and distress
次要结局
- Correlation of PROMs at discharge and risk of hospital readmission or ED visits(Day 30 after discharge from hospital)
- Exploration of PROMs in patients who receive low-value care(Day 1, Day 3, at the day of discharge (approximately day 8) and Day 30 after discharge from Hospital)
- Explore PREMs(Since 24 hours after beginning of the hospitalization up to Discharge from Hospital (approximately day 8))
研究者
Marie Méan
Principal Investigator, Senior Physician
University of Lausanne Hospitals