kwetsbaarheid, veroudering fatigability fatigue
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: aged 70 years or older; willing to participate medically able to participate providing informed consent.
Exclusion criteria
Exclusion criteria: 1. no understanding of the Dutch language; 2. lack of decision making capacity, due to: a.previously diagnosed dementia; b. delirium or other conditions that influence decision making capacity; 3. hospital admission for more than 48 hours, due to: a.transfer from another hospital to the UMCG; b.transfer from another ward (e.g. Intensive Care Unit (ICU), or rehabilitation center) to an internal medicine ward in the UMCG; 4. expected stay in hospital for less than 48 hours or when the patient is expected to die within
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| main study parameters are repeated measurements of mobility (assessed by De Morton Mobility Index), and perceived fatigue (assessed with the Pittsburgh Fatigability Scale). | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary objectives are the capacity of the physiologic system to enhance homeostasis during illness is reflected by the capacity of different organ systems to restore deviating values back to normal values. Physiologic systems are expressed by cognitive, immunological, endocrine, musculoskeletal, cardiovascular, respiratory, and renal responses. Furthermore, age, sex, educationlevel, depression, comorbidity, medication, pain, in-hospital activity, and the capacity of the physiologic system to enhance homeostasis will be used in the analyses for the first secondary objective. Finally, in the qualitative interview, feasibility of an intervention to prevent hospital associated decline will be investigated. The use of a wearable (Fitbit) in combination with a digital application will be evaluated using two questions addressing user acceptability. | — |
Countries
Netherlands