Mortality Risk Assessment by Skilled Staff Compared to Existing Validated Tools in Skilled Nursing Departments

NCT06675071 | Not Yet Recruiting

• 1 other identifier: SH-118-24
• Study Type: observational
• Target: 300
• Locations: 0 countries
• Sites: N/A

Brief Summary

Mortality Risk Assessment by Skilled Caregivers Compared to Existing Validated Tools in Skilled Nursing Departments at Shmuel Harofeh Geriatric Hospital Background The elderly population in Israel and globally is growing, increasing demand for medical services, particularly palliative care. Recommendations from 2016 emphasized the need for geriatric and skilled nursing departments to focus on end-of-life care, but implementation has been limited. High mortality and frequent readmissions are reported in long-term care, yet accurate mortality prediction tools for elderly patients remain limited. Improved mortality prediction can help identify patients who would benefit from palliative care and reduce unnecessary interventions. Research Objectives

1. 1.Assess life expectancy of patients in skilled nursing departments.
2. 2.Compare the effectiveness of various tools in predicting six-month mortality.
3. 3.Validated Tools: Including the MITCHELL scale (for patients with advanced dementia) and the POROCK scale (for institutionalized patients).
4. 4.Caregiver Assessment: Subjective life expectancy estimates by attending geriatricians and nursing staff within three days of admission and again 7-10 days later. An external geriatrician will also provide an assessment based on brief, non-invasive observation.

Conditions

Mortality Prediction

Keywords

older adults, long term care, Mortality Prediction; MITCHELL scale, POROCK scale

Outcome Measures

Primary Outcomes (1)

• life expectancy of patients in skilled nursing departments

  Compare the effectiveness of various tools in predicting six-month mortality

  3 years

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Patients over the age of 65 years admitted to skilled nursing departments at Shmuel Harofeh Hospital.

Sponsors & Collaborators

• Shmuel Harofeh Hospital, Geriatric Medical Center: lead

Central Study Contacts

Yochai Levy

CONTACT

972502991516; yochai.levy@MOH.GOV.IL

Nadya Kagansky

CONTACT

972506264678; batia_nadya.kagansky@moh.gov.il

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Target Duration: 1 Year
• Sponsor Type: OTHER GOV
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Hospital deputy director

Study Record Dates

• First Submitted: November 4, 2024
• First Posted: November 5, 2024
• Study Start: November 10, 2024
• Primary Completion (Estimated): November 1, 2027
• Study Completion (Estimated): January 1, 2028
• Last Updated: November 5, 2024

Record last verified: 2024-11

Data Sharing

• IPD Sharing: Will not share