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Completed

NCT Number: NCT07131865

Comparison of the Functional Status, Psychosocial Aspects and Discharge Locations of Geriatric Patients Before and After Inpatient Geriatric Rehabilitation

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.

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Key information

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • 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.

Exclusion criteria

  • No written consent was provided.

Treatment and study plan

Primary outcomes

  1. Classification of diagnosis into internal medicine, neurological, or orthopedic/surgical categories

    Time frame: 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.

  2. Cumulative Health Rating Scale (CIRS)

    Time frame: 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.

  3. Functional Independence Measure (FIM)

    Time frame: 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.

  4. Health-related quality of life (EQ5D-5VAS)

    Time frame: 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

  5. Patient Reported Outcomes Measurement Information System - (PROMIS-10)

    Time frame: 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.

  6. Timed Up and Go Test (TUG)

    Time frame: 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.

  7. Grip strength measured by the Jamar Hand Dynamometer

    Time frame: 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.

Secondary outcomes

  1. Age of participants

    Time frame: At baseline (upon hospital admission and study enrollment)

    Participant age will be recorded in years at the time of study enrollment. Age is an important demographic variable used to characterize the study population and to analyze outcomes by age groups if applicable.

  2. Gender of participants

    Time frame: At baseline (upon hospital admission and study enrollment)

    Participant gender will be recorded as male, female, or other at the time of study enrollment. Gender is a key demographic variable to describe the study population and analyze potential differences in outcomes.

  3. Marital status of participants

    Time frame: At baseline (upon hospital admission and study enrollment)

    Marital status will be recorded at the time of study enrollment and categorized as single, married, divorced, widowed, or other. This demographic information helps to characterize the study population and may be used to analyze its influence on health outcomes.

  4. Place of residence of participants

    Time frame: At baseline (upon hospital admission and study enrollment)

    Participants' place of residence will be recorded at the time of study enrollment. This information may include urban or rural status, region, or postal code. It helps to describe the study population and assess potential geographic influences on health outcomes.

  5. Length of hospital stay

    Time frame: 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

    The length of hospital stay will be recorded in days, calculated from the date of admission to the date of discharge. This measure reflects the duration of inpatient treatment and may be used to evaluate resource utilization and recovery time.

Sponsors and collaborators

Lead sponsor

University of Bern

Other

Registry information

Official study title

Effectiveness Analysis of Inpatient Geriatric Rehabilitation According to the Valensian Model

Important dates

Study start
2020
Primary completion
2023
Study completion
2023
First posted
Aug 20, 2025
Registry last updated
Aug 20, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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