Frail Elderly Syndrome
Conditions
Keywords
Home Care Services, Aging, Frailty, Complexity, Nursing
Brief summary
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.
Interventions
OTHERSwiss RAI-HC assessment
RAI-HC assessments done by trained nurses in clinical routine
Sponsors
Institution genevoise de maintien à domicile
School of Health Sciences Geneva
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Frailty Index | 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 |
| Complexity Index | 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
| Measure | Time frame | Description |
|---|---|---|
| Falls | 6 months on average | Falls recorded by means of follow-up RAI-HC assessments |
| Hospitalizations | 6 months on average | Hospitalizations recorded by means of follow-up RAI-HC assessments |
| Mortality | through study completion, an average of 5 year | Deceased (yes/no); collected through administrative records |
Outcome results
None listed