Dementia, Motor Impairments, Stroke, Thighbone Fractures
Conditions
Keywords
Cognitive impairment., Geriatrics., Hospital admission., Hospital discharge.
Brief summary
This prospective observational cohort study aims at studying functional and clinical outcomes of patients (N = 329) admitted to 4 geriatric hospital facilities of the St John of God Order in Northern Italy during an index period of 4 months. Other areas assessed include variables that help or hinder the discharge of patients with sufficient residential autonomy and the predictive ability of clinicians compared with the evaluation of selective indicators of outcome (clinical and instrumental). Patients are followed from the first day of hospitalization until discharge or up to 3 months and 1 day after the date of admission (long-term care patients). At admission a Patient Form including social, demographic and clinical informations and a series of standardized assessment tools is completed with the help of clinicians, nurses and caregivers (when available). For each patient, during hospitalization, an analysis of apolipoprotein ApoE polymorphisms is performed and adverse events occurred during hospitalization are monitored, as well as the predictive abilities of clinicians and any recent CT and MRI. Patients are reassessed at discharge (or after 3 months for long-term care patients) and at 6 months follow-up of with a standardized telephone interview to assess clinical and functional status and possible changes in the residential status of the patient.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* age 65 or older * informed consent provided
Exclusion criteria
* younger than 65 years * informed consent not provided
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| evaluation of clinical improvement | from admission to discharge (or after 3 months of hospitalization) and 6 months follow-up |
Secondary
| Measure | Time frame |
|---|---|
| identification of variables predictive of outcomes | at discharge (or 3 months after admission) and 6 months follow-up |
Other
| Measure | Time frame |
|---|---|
| evaluation of predictive abilities of clinicians | admission, discharge (or 3 months of hospitalization) and 6 months follow-up |
Countries
Italy