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Completed

NCT Number: NCT03139162

Development of Clinical Indicators From the Swiss RAI-HC

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.

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Key information

Conditions

Frail Elderly Syndrome Frailty Pathologic Processes Pathological Conditions, Signs and Symptoms

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Who can participate

Healthy volunteers accepted: Yes

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

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

Treatment and study plan

Swiss RAI-HC assessment

Other

RAI-HC assessments done by trained nurses in clinical routine

Primary outcomes

  1. Frailty Index

    Time frame: 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

  2. Complexity Index

    Time frame: 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 outcomes

  1. Falls

    Time frame: 6 months on average

    Falls recorded by means of follow-up RAI-HC assessments

  2. Hospitalizations

    Time frame: 6 months on average

    Hospitalizations recorded by means of follow-up RAI-HC assessments

  3. Mortality

    Time frame: through study completion, an average of 5 year

    Deceased (yes/no); collected through administrative records

Sponsors and collaborators

Lead sponsor

School of Health Sciences Geneva

Other

Collaborators

  • Institution genevoise de maintien à domicile

Registry information

Official study title

Development of Frailty and Complexity Indices From Data Collected With Resident Assessment Instrument - Home Care Adapted for Switzerland

Acronym: IndiRAI

Important dates

Study start
2015
Primary completion
2015
Study completion
2023
First posted
May 3, 2017
Registry last updated
Apr 12, 2023

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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