Clinical trial NCT03999047: Validation of the Screening Instrument: PRISMA-7 for Frailty Among Elderly Hospitalized Danes
Official title: Validation of the Screening Instrument: PRISMA-7 for Frailty Among +75 Year Old Danes Still in Need of Physical Training When They Are Sent Home After a Hospital Stay
Study type: OBSERVATIONAL
Overall status: UNKNOWN
Conditions: Frailty Syndrome
Lead sponsor: Region Zealand
Sponsor class: OTHER
Collaborators: name: University of Southern Denmark
First posted: 2019-06-26
Enrollment: 1050
Sex: ALL
Minimum age (years): 75
Standard ages: OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Persons 75 years old og older who have been staying in hospital and are in need physical rehabilitation in the municipality when they are sent home from hospital.

Brief summary: The questionnaire PRISMA-7 was originally developed to assess frailty in community dwelling adults. The questionnaire was translated into the Danish language. This instrument was used to screen for frailty among elderly patients (75+) sent home from Nykøbing Falster Hospital after a hospital admission during the period 31. May 2017 until December 31st, 2018. PRISMA results were used to categorize each individula as frail or non-frail. The register of PRISMA results was merged with national registers on use of health serviced in order to investigate if increasing PRISMA score was associated with increasing use of health services.

Detailed description: Data from PRISMA scores were registered in an EasyTrial database. This database is recognized by the regional health authorities as a safe system to store individual health data. All use of the EasyTRial database is logged. The merging of data from the local EasyTRial database with data from national registries on use of health services and on mortality was permitted by the Danish National Health Data protection authorities.

Eligibility criteria: Inclusion Criteria:

* 75 years old persons being returned from hospital after a hospital admission and in need of further physical rehabilitation in the community

Exclusion Criteria:

Not able to give informed consent or if necessary not having a relative that can give informed consent

Primary outcomes:
measure: Mortality
timeFrame: 6 months after PRISMA-7 screening
measure: Morbidity
timeFrame: 6 months after Prisma-7 screening
Secondary outcomes:
measure: Use of other health services
timeFrame: 6 months before PRISMA-7 screening
measure: Morbidity
timeFrame: 6 months after PRISMA-7 screening
Other outcomes:
Locations:
city: Nykøbing Falster
country: Denmark
facility: Nykøbing Falster Hospital
Study officials:
affiliation: Region Sjælland
name: Ellen A Holm, MD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Turner G, Clegg A; British Geriatrics Society; Age UK; Royal College of General Practioners. Best practice guidelines for the management of frailty: a British Geriatrics Society, Age UK and Royal College of General Practitioners report. Age Ageing. 2014 Nov;43(6):744-7. doi: 10.1093/ageing/afu138.
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citation: Braun T, Gruneberg C, Thiel C. German translation, cross-cultural adaptation and diagnostic test accuracy of three frailty screening tools : PRISMA-7, FRAIL scale and Groningen Frailty Indicator. Z Gerontol Geriatr. 2018 Apr;51(3):282-292. doi: 10.1007/s00391-017-1295-2. Epub 2017 Aug 9.
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