Development of Clinical Indicators From the Swiss RAI-HC

Study Overview
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Brief Summary
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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.

Official Title
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Development of Frailty and Complexity Indices From Data Collected With Resident Assessment Instrument - Home Care Adapted for Switzerland

Conditions
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Frail Elderly Syndrome

Intervention / Treatment
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* Other: Swiss RAI-HC assessment


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Other: Swiss RAI-HC assessment|RAI-HC assessments done by trained nurses in clinical routine|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Frailty Index | 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 | 1 year | 
| Complexity Index | 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 | 1 year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Falls | Falls recorded by means of follow-up RAI-HC assessments | 6 months on average | 
| Hospitalizations | Hospitalizations recorded by means of follow-up RAI-HC assessments | 6 months on average | 
| Mortality | Deceased (yes/no); collected through administrative records | through study completion, an average of 5 year | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Home Care Services, Aging, Frailty, Complexity, Nursing