DOI: 10.3886/icpsr06560.v1
title: Hospitalized Older Persons Evaluation (HOPE) Study, 1991-1993: [California]
title: Version 1

description: The HOPE study was a multi-center randomized clinical trial mounted to determine the effects of hospital inpatient consultative comprehensive geriatric assessment (CGA) under typical practice conditions on selected patient health and health services utilization outcomes. The main outcome measures were functional status, health status, mortality, rehospitalization, and total use of health care services for hospital patients 65 years of age and older. Functional status was evaluated by questions about limitations in patients' activities of daily living due to health problems. Also included were items covering living arrangements (with whom and where), ethnicity, education, and marital status. Health status questions covered patients' perceptions of mental health and current physical health. The functional and health status of patients was measured prior to CGA treatment and randomization, again at 3 months post-randomization, and at 12 months post-randomization. Functional and health status data are included in Parts 3-8. Health services utilization data (Parts 9-15) cover patient use of medical services such as urgent care, emergency room, radiology, durable medical equipment, and medications (prescribed and over the counter). Mortality information (Part 17) includes date of lost contact or death, and data source of survival status. Hospitalization measures (Part 18) include date of admission and discharge, admittance source diagnoses and procedures, and inpatient/outpatient status.
description: Datasets: 
 
 DS0: Study-Level Files 
 DS1: Screening Form 502 Data 
 DS2: Screening Form 503 Data 
 DS3: FSQ1 Form Data 
 DS4: FSQ2 Form Data 
 DS5: FSQ3 Form Data 
 DS6: Proxy FSQ1 Form Data 
 DS7: Proxy FSQ2 Form Data 
 DS8: Proxy FSQ3 Form Data 
 DS9: Utilization Abstract Form A Data 
 DS10: Utilization Abstract Form B Data 
 DS11: Utilization Abstract Form C Data 
 DS12: Utilization Abstract Form D Data 
 DS13: Utilization Abstract Form E Data 
 DS14: Utilization Abstract Forms F, G, H Data 
 DS15: Utilization Abstract ID Form Data 
 DS16: Recommendation Abstract Data 
 DS17: Mortality Tracking System Data 
 DS18: Patient Hospitalization Data 
 DS19: Codebook for All Parts (ASCII) 
 DS20: Codebook for All Parts (PDF) 
 DS21: Data Collection Instruments and Appendices (PDF)
description: The codebook, data collection instruments, and appendices are provided as Portable Document Format (PDF) files. The PDF file format was developed by Adobe Systems Incorporated and can be accessed using PDF reader software, such as the Adobe Acrobat Reader. Information on how to obtain a copy of the Acrobat Reader is provided through the ICPSR Website on the Internet. The codebook is also available as an ASCII text file.
description: Patients 65 years of age or older admitted to any of six Kaiser Permanente hospitals.
description: Randomized clinical trial at four hospitals plus two nonequivalent control hospitals, with inclusionary and exclusionary criteria determining if the patient was selected for randomization. Patients were included in the study if they met at least one of the inclusionary criteria and none of the exclusionary criteria. Criteria for including patients in the study included stroke, immobility, impairment of a basic activity of daily living, malnutrition, incontinence, confusion or dementia, prolonged bed rest, falls within the last three months, depression, social/family problems, unplanned admission within three months of previous admission, new fracture, and age 80 years or older. Patients were excluded if they had been previously enrolled in the study, had been admitted for terminal care or to a hospice, were not a member of Kaiser Health Plan, lived outside the medical service area, were discharged/expired before being randomized, did not speak English, or were admitted from a nursing home. After screening, a total of 3,593 patients were included in the study. Of 1,337 patients assigned to the CGA group, 1,261 (94 percent) were actually assessed, 1,016 patients were assigned to the control group, and 1,240 patients were assigned to the nonequivalent control group.