Protocol of Geriatric Rehabilitation in Patients of 60 and Older Who Live in Moscow Boarding Houses or Nursing Homes

Study Overview
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Brief Summary
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After screening complex geriatric assessment (CGA) the participants will undergo geriatric rehabilitation programs. After termination of 21-day program, CGA will be repeated and subjects will get a program of long-term rehabilitation. A phone call in six months and a face-to-face visit in 12 months will be scheduled to follow-up and to evaluate the progress in rehabilitation.

Detailed Description
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After screening complex geriatric assessment (CGA) the participants will undergo geriatric rehabilitation programs. The participation duration will not exceed 13.5 months including the screening period. The study comprises three periods: screening (1-14 days) a treatment course of 21 days a follow-up period of 12 months On screening visit Study procedures will include Informed consent signing The Comprehensive Geriatric Assessment (CGA) The recommendations on a program of geriatric rehabilitation based on CGA Visit 2 will be performed at the end of rehabilitation program. It will include: The abbreviated CGA The evaluation of the results of 21-days geriatric rehabilitation program The recommendations on a long-term geriatric rehabilitation Visit 3 will be scheduled in 3 months after Visit 2 as a phone call. Special questionnaire will be suggested to study subjects. The questionnaire includes questions on implementation of a geriatric rehabilitation program and on quality of life Visit 4- the last study visit will be performed in 12 months after Visit 2. It will include CGA and study completion procedures.

Official Title
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POSTSCRIPTUM: Protocol of Geriatric Rehabilitation in Patients of 60 and Older Who Live in Moscow Boarding Houses or Nursing Homes. Protocol of Multicentral Prospective Study.

Conditions
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Frail Elderly Syndrome

Intervention / Treatment
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* Other: Geriatric rehabilitation program based on CGA


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Men and women aged 60 and older who wanted to participate in the study and signed a consent form. One or more indications for geriatric rehabilitation: A discharge after a hospitalization due to an acute illness (excluding stroke and myocardial infarction), trauma, surgery, including planned ones. A condition leading to an acute impairment of functional status (stress, etc.) Newly admitted patients Abnormalities of gait and mobility (R26) Exclusion Criteria: One or more contraindications to geriatric rehabilitation: Severe sensory and cognitive impairment hampering rehabilitation End stage diseases requiring palliative care End stage frailty (bedridden patients) An acute illness or an exacerbation of a chronic disease during two weeks before the enrollment in the study A contradiction to any component of a rehabilitation program Hearing or visual lost that can influence on study tests results Refuse to participate in the study -

Ages Eligible for Study
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Minimum Age: 60 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Frail elderly subjects<br>Frail subjects of 60 years and older will get geriatric rehabilitation program based on CGA | Other: Geriatric rehabilitation program based on CGA<br>* Geriatric rehabilitation program based on CGA will be performed under physicians tight control for 21 days and will include physical activity, psychological training, diet correction, adaptation measures, polypragmasia correction.<br>|
| Pre-Frail elderly subjects<br>Pre-Frail subjects of 60 years and older will get geriatric rehabilitation program based on CGA | Other: Geriatric rehabilitation program based on CGA<br>* Geriatric rehabilitation program based on CGA will be performed under physicians tight control for 21 days and will include physical activity, psychological training, diet correction, adaptation measures, polypragmasia correction.<br>|
| Non-frail elderly Frail subjects<br>Non-frail Frail subjects of 60 years and older will get geriatric rehabilitation program based on CGA | Other: Geriatric rehabilitation program based on CGA<br>* Geriatric rehabilitation program based on CGA will be performed under physicians tight control for 21 days and will include physical activity, psychological training, diet correction, adaptation measures, polypragmasia correction.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| functional status dynamics | Instrumental Activity Daily Life scale score | 13 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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geriatric rehabilitation, elderly, frailty, Complex geriatric assessment