Ischemic Heart Disease
Conditions
Keywords
GeriKit, Comprehensive Geriatric Assessment (CGA)
Brief summary
This study seeks to expand the use of the NYU GeriKit mobile application (app) in a diverse range of settings to better phenotype older patients, which will enhance both research and patient care.
Detailed description
This is a single-center proof of concept study of geriatric impairments and feasibility metrics through the use of the GeriKit software application in older adults with ischemic heart disease at the NYU Langone Medical Center. The GeriKit mobile application was developed to make geriatric assessment instruments easily accessible to clinicians who do not have subspecialty training in geriatrics. The GeriKit app has been used clinically but is untested in research settings.
Interventions
Digital health app used for comprehensive geriatric assessment (CGA). The app includes a series of brief, well-validated instruments: the MiniCog, 30-Second Chair Stand, Activities of Daily Living, Instrumental Activities of Daily Living, Patient Health Questionnaire (PHQ-9), Mini Nutrition Assessment, 2-Item Fall Screen, and Polypharmacy screen.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Age ≥ 75 2. Currently hospitalized for acute mycardial infarction (AMI), percutaneous coronary intervention (PCI), or coronary artery bypass grafting (CABG); or hospitalized for AMI, PCI, or CABG within the prior 4 weeks 3. Capable of self-consent 4. Understand and are able to perform study procedures in English
Exclusion criteria
1. Non-ambulatory 2. Moderate or severe cognitive impairment (operationalized as known diagnosis of dementia) 3. Unable or unwilling to consent 4. Incarcerated 5. Unable to use complete assessments in English 6. Unable to complete geriatric assessment for other reasons
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of Mortality or Hospital Readmission | Month 6 | Binary outcome; determined by review of patient electronic health record (EHR) data at Month 6. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| 12-Item Short Form Survey (SF-12) Score | Baseline | The SF-12 is a self-reported outcome measure assessing the impact of health on an individual's everyday life. It is often used as a quality-of-life measure. SF-12 consists of 12 questions that are scored in various ways. The total score range is 12-48; the higher the score, the higher the score, the better the physical and mental health functioning. |
| Seattle Angina Questionnaire Short-Form (SAQ-7) | Baseline | 7-item questionnaire assessing functional status, angina and disease-specific health-related quality of life (HRQoL) over a four-week recall period. Responses generate a summary score ranging from 0-100, where 100 = full health, and 0 = worst health. |
Countries
United States