Mortality and Rehospitalization Risk Assessment by Skilled Caregivers Compared to Existing Tools in Acute Geriatric Departments

NCT06675084 | Not Yet Recruiting

• 1 other identifier: SH-120-24
• Study Type: observational
• Target: 600
• Locations: 0 countries
• Sites: N/A

Brief Summary

Mortality and Rehospitalization Risk Assessment by Skilled Caregivers Compared to Existing Tools in Acute Geriatric Departments Background The elderly population in Israel and worldwide is steadily increasing, leading to greater demand for medical services, including palliative care. In 2019, individuals aged 65+ accounted for 64% of hospital admissions and 70% of hospital days in Israel. Approximately 19% of these were readmissions, a rate that increases with age. Effective tools for identifying patients at high risk of rehospitalization and mortality are lacking, which, if improved, could benefit patients through targeted palliative and end-of-life care. Enhanced tools could reduce unnecessary interventions, improve patient well-being, and alleviate economic burdens on healthcare. Research Objectives

1. 1.Evaluate mortality and rehospitalization rates in acute geriatric departments.
2. 2.Identify risk factors for rehospitalization and mortality in acutely hospitalized elderly patients.
3. 3.Compare the effectiveness of skilled caregiver assessments versus validated prediction tools for mortality and rehospitalization within one year.
4. 4.Mortality and rehospitalization rates in acute geriatric departments are comparable to those in internal medicine.
5. 5.Multiple factors-such as age, family support, comorbidities, functional and cognitive status-correlate with mortality risk.
6. 6.Skilled caregiver assessments predict mortality and rehospitalization more accurately than existing validated tools.
7. 7.Mortality Prediction using the WALTER Index for the elderly.
8. 8.Rehospitalization Risk using the LACE Index, validated for 30-day readmission risk.
9. 9.Subjective Caregiver Assessments from geriatric specialists and nursing supervisors, estimating life expectancy and 30-day, 3-month, and 1-year rehospitalization risk.

Conditions

Clinical Decision Support

Keywords

Geriatric, acute care, older adults

Outcome Measures

Primary Outcomes (1)

• Compare the effectiveness of skilled caregiver assessments versus validated prediction tools for mortality and rehospitalization within one year

  2 years

Secondary Outcomes (1)

• Identify risk factors for rehospitalization and mortality in acutely hospitalized elderly patients.

  2 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 65 years old admitted to acute geriatric departments at Shmuel Harofe Hospital for acute conditions.

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, 2026
• Study Completion (Estimated): May 1, 2027
• Last Updated: November 5, 2024

Record last verified: 2024-11

Data Sharing

• IPD Sharing: Will not share