Is Inpatient Rehabilitation Effective for Very Old Patients?

NCT06307210 | Completed

• 1 other identifier: coreset_2020_2022
• Study Type: observational
• Target: 2,270
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this retrospective longitudinal observational study is to compare the effects of physical and mental performance as well as quality of life in patients with neurological and musculoskeletal disorders. The main question it aims to answer is: Do very old patients benefit in a similar way from inpatient rehabilitation like younger patients? Data from about 2000 patients will be retrospectively analyzed. Functional Independence Measurement (FIM), Timed Up and Go Test (TUG), EuroQol 5 Dimensions (EQ-5D) and Patient Reported Outcomes Measurement Information System (PROMIS) were recorded on admission and discharge. Researchers will compare the age group 75 to 84 and 85 to 99 to see if physical and mental performance as well as quality of life will improve.

Conditions

Activity, Motor; Elderly Patients; Musculoskeletal Diseases

Outcome Measures

Primary Outcomes (4)

• FIM

  Functional Independence Measurement; 18 categories, focusing on motor and cognitive function; each category or item is rated on a 7-point scale (1 = \<25% independence; total assistance required, 7 = 100% independence); interval scale

  2 years

• TUG

  Timed Up and Go Test; used to assess a person's mobility; It uses the time (in seconds) that a person takes to rise from a chair, walk three meters, turn around 180 degrees, walk back to the chair, and sit down while turning 180 degrees; the faster the better; interval scale

  2 years

• EQ-5D (Quality of life)

  EQ-5D is a standardised measure of health-related quality of life developed by the EuroQol; EQ-5D assesses health status in terms of five dimensions of health (mobility, self care, usual activities, pain and discomfort, anxiety and depression); EQ-5D is not an abbreviation and is the correct term to use when referring to the instrument; the higher the better; minimum 0, maximum 100; interval scale

  2 years

• PROMIS

  Patient Reported Outcomes Measurement Information System; assessing physical, mental, and social well-being from the patient perspective; we assessed physical health (5 items, 0-10) and mental health (2 items, 0-10); interval scale

  2 years

Study Arms (2)

age group 75-84

Inpatient rehabilitation included physiotherapy (30-60 min, 5 times/week), strength and endurance training (30-45 min, 3-5 times/week), occupational therapy (30 min, 2-3 times/week), and neuropsychological training (30 min, 2 times/week).

Other: inpatient rehabilitation

age group 85-99

Inpatient rehabilitation included physiotherapy (30-60 min, 5 times/week), strength and endurance training (30-45 min, 3-5 times/week), occupational therapy (30 min, 2-3 times/week), and neuropsychological training (30 min, 2 times/week).

Other: inpatient rehabilitation

Interventions

inpatient rehabilitation OTHER

physiotherapy (strength and endurance training), occupational therapy and neuropsychological training

age group 75-84; age group 85-99

Eligibility Criteria

• Age: 75 Years - 100 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Eligible subjects were German-speaking and over 74 years old referred to the Rehabilitation Centre Valens in Switzerland for inpatient rehabilitation.

You may qualify if:

• german speaking
• age \>74
• patients with neurological and musculoskeletal disorders

You may not qualify if:

• age \<75
• patients with pulmonological and internal disorders

Sponsors & Collaborators

• Klinik Valens: lead

Study Sites (1)

Klinik Valens

Valens, Canton of St. Gallen, CH-7317, Switzerland

Location

Related Publications (4)

• Maritz R, Tennant A, Fellinghauer C, Stucki G, Prodinger B. The Functional Independence Measure 18-item version can be reported as a unidimensional interval-scaled metric: Internal construct validity revisited. J Rehabil Med. 2019 Mar 13;51(3):193-200. doi: 10.2340/16501977-2525.

  PMID: 30843597 RESULT

• Devlin NJ, Brooks R. EQ-5D and the EuroQol Group: Past, Present and Future. Appl Health Econ Health Policy. 2017 Apr;15(2):127-137. doi: 10.1007/s40258-017-0310-5.

  PMID: 28194657 RESULT

• Fries JF, Witter J, Rose M, Cella D, Khanna D, Morgan-DeWitt E. Item response theory, computerized adaptive testing, and PROMIS: assessment of physical function. J Rheumatol. 2014 Jan;41(1):153-8. doi: 10.3899/jrheum.130813. Epub 2013 Nov 15.

  PMID: 24241485 RESULT

• Valet M, Lejeune T, Devis M, van Pesch V, El Sankari S, Stoquart G. Timed Up-and-Go and 2-Minute Walk Test in patients with multiple sclerosis with mild disability: reliability, responsiveness and link with perceived fatigue. Eur J Phys Rehabil Med. 2019 Aug;55(4):450-455. doi: 10.23736/S1973-9087.18.05366-2. Epub 2018 Oct 4.

  PMID: 30311490 RESULT

MeSH Terms

Conditions

Motor Activity; Musculoskeletal Diseases

Condition Hierarchy (Ancestors)

Behavior

Study Officials

• Roman Gonzenbach, Dr.

  Kliniken Valens

  STUDY DIRECTOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: March 4, 2024
• First Posted: March 12, 2024
• Study Start: January 1, 2020
• Primary Completion: December 31, 2022
• Study Completion: January 1, 2023
• Last Updated: March 12, 2024

Record last verified: 2024-03

Locations

CH (1)