Use of GeriKit to Better Phenotype Older Adults With Ischemic Heart Disease

Study Overview
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Brief Summary
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This study seeks to expand the use of the NYU GeriKit mobile application (app) in a diverse range of settings to better phenotype older patients, which will enhance both research and patient care.

Detailed Description
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This is a single-center proof of concept study of geriatric impairments and feasibility metrics through the use of the GeriKit software application in older adults with ischemic heart disease at the NYU Langone Medical Center. The GeriKit mobile application was developed to make geriatric assessment instruments easily accessible to clinicians who do not have subspecialty training in geriatrics. The GeriKit app has been used clinically but is untested in research settings.

Official Title
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Use of GeriKit to Better Phenotype Older Adults With Ischemic Heart Disease

Conditions
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Ischemic Heart Disease

Intervention / Treatment
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* Procedure: GeriKit Mobile Application


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age ≥ 75 Currently hospitalized for acute mycardial infarction (AMI), percutaneous coronary intervention (PCI), or coronary artery bypass grafting (CABG); or hospitalized for AMI, PCI, or CABG within the prior 4 weeks Capable of self-consent Understand and are able to perform study procedures in English Exclusion Criteria: Non-ambulatory Moderate or severe cognitive impairment (operationalized as known diagnosis of dementia) Unable or unwilling to consent Incarcerated Unable to use complete assessments in English Unable to complete geriatric assessment for other reasons

Ages Eligible for Study
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Minimum Age: 75 Years
Maximum Age: 100 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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Design Details

Primary Purpose: Screening
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Geriatric Assessments using GeriKit App<br>Participants will receive comprehensive geriatric assessment via GeriKit app at baseline. All participants will complete a follow-up assessment via phone at 6 months. 20 of the 150 enrolled participants will continue onto a qualitative questionnaire after the completion of the 6-month follow up call. | Procedure: GeriKit Mobile Application<br>* Digital health app used for comprehensive geriatric assessment (CGA). The app includes a series of brief, well-validated instruments: the MiniCog, 30-Second Chair Stand, Activities of Daily Living, Instrumental Activities of Daily Living, Patient Health Questionnaire (PHQ-9), Mini Nutrition Assessment, 2-Item Fall Screen, and Polypharmacy screen.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Incidence of Mortality or Hospital Readmission | Binary outcome; determined by review of patient electronic health record (EHR) data at Month 6. | Month 6 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 12-Item Short Form Survey (SF-12) Score | The SF-12 is a self-reported outcome measure assessing the impact of health on an individual's everyday life. It is often used as a quality-of-life measure. SF-12 consists of 12 questions that are scored in various ways. The total score range is 12-48; the higher the score, the higher the score, the better the physical and mental health functioning. | Baseline | 
| 12-Item Short Form Survey (SF-12) Score | The SF-12 is a self-reported outcome measure assessing the impact of health on an individual's everyday life. It is often used as a quality-of-life measure. SF-12 consists of 12 questions that are scored in various ways. The total score range is 12-48; the higher the score, the higher the score, the better the physical and mental health functioning. | Month 6 | 
| Seattle Angina Questionnaire Short-Form (SAQ-7) | 7-item questionnaire assessing functional status, angina and disease-specific health-related quality of life (HRQoL) over a four-week recall period. Responses generate a summary score ranging from 0-100, where 100 = full health, and 0 = worst health. | Baseline | 
| Seattle Angina Questionnaire Short-Form (SAQ-7) | 7-item questionnaire assessing functional status, angina and disease-specific health-related quality of life (HRQoL) over a four-week recall period. Responses generate a summary score ranging from 0-100, where 100 = full health, and 0 = worst health. | Month 6 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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GeriKit, Comprehensive Geriatric Assessment (CGA)