Internal Medicine, PREM, PROM, Quality of Care
Conditions
Brief summary
currently, PROMs and PREMs are not routinely collected and compared among medical inpatients of Swiss university hospitals, nor is a standard set of PROMs and PREMs available for use in Swiss hospitals. The project aims to examine trends in patient-reported outcomes (PROMs), including symptoms, quality of life, and distress, in multimorbid hospitalized patients from admission to 30 days post-discharge. It will also investigate whether PROMs at discharge are linked to the risk of readmission or emergency visits and explore how these outcomes differ in patients who receive low-value care. Additionally, the project will assess the relationship between patient-reported experiences (PREMs) and the provision of low-value care during the hospital stay.
Interventions
OTHERHospitalization
The investigators collect PROMs amongst up to 1000 patients in general internal medicine divisions of all five Swiss university hospitals
Sponsors
Insel Gruppe AG, University Hospital Bern
University Hospital, Geneva
University Hospital, Zürich
University Hospital, Basel, Switzerland
University of Lausanne Hospitals
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* eligible for the LUCID registry (CER-VD AO\_2023-00029) \[Age ≥ 18 years, hospitalized in one of the five participating university hospitals (Geneva, Lausanne, Bern, Zürich, Basel), after 01.01.2014, and admitted to general internal medicine wards * Multimorbid patients (2 or more chronic diseases, defined as chronic conditions defined by international classification of diseases, 10th revision, codes with an estimated expected duration of at least 6 months or based on a clinical decision. * Acute illness * Signature of study specific informed consent
Exclusion criteria
* Not able to speak French, German or English * Foreseen length of stay of less than 4 days (estimated by study collaborators) * Prior inclusion in the TRADUCE study * Incapacity of discernment, i.e. cognitive impairment which could interfere with the ability to fill in PROMs tools
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Correlation of PROMS with the risk of readmission | Day 1, Day 3, at the day of discharge (approximately day 8) and Day 30 after discharge from Hospital | The primary objective of the project is to explore trends in PROMs (using the Edmonton Symptom Assessment System (ESAS-r), the EQ-5D-5L index,45 and the National Comprehensive Cancer Network (NCCN) distress thermometer) of multimorbid medical hospitalized patients, from admission until 30-days post-discharge. The patients-reported outcomes will consist of patients-reported symptoms, quality of life and distress |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Correlation of PROMs at discharge and risk of hospital readmission or ED visits | Day 30 after discharge from hospital | assess whether PROMs ((using the Edmonton Symptom Assessment System (ESAS-r), the EQ-5D-5L index,45 and the National Comprehensive Cancer Network (NCCN) distress thermometer) at discharge are associated with the risk of hospital readmission or of emergency department visit within the next 30 days; |
| Exploration of PROMs in patients who receive low-value care | Day 1, Day 3, at the day of discharge (approximately day 8) and Day 30 after discharge from Hospital | explore whether PROMs ((using the Edmonton Symptom Assessment System (ESAS-r), the EQ-5D-5L index,45 and the National Comprehensive Cancer Network (NCCN) distress thermometer) trends vary in patients who do or do not receive low value care (LVC); |
| Explore PREMs | Since 24 hours after beginning of the hospitalization up to Discharge from Hospital (approximately day 8) | Explore information on Patient Reported Experiences Measures (PREMs) using a qualitative questionnaire during patients' stay at the hospital, and whether there is a correlation between the provision of LVC and qualitative analysis of PREMs |
Countries
Switzerland
Contacts
Primary ContactMarie Méan, MD
Outcome results
None listed