How Complexity and Multiple Illnesses Affect Hospitalized Patients' Health: a Multicenter Study
EFFETTI DELLA COMPLESSITÀ E MULTIMORBIDITÀ SUGLI ESITI CLINICI NEL PAZIENTE INTERNISTICO OSPEDALIZZATO: STUDIO MULTICENTRICO, OSSERVAZIONALE E PROSPETTICO - EFFECTS of COMPLEXITY and MULTIMORBIDITY on CLINICAL OUTCOMES in HOSPITALIZED INTERNAL MEDICINE PATIENTS: a MULTICENTER, OBSERVATIONAL and PROSPECTIVE STUDY
1 other identifier
observational
2,326
1 country
12
Brief Summary
The goal of this observational study is to evaluate the association between complexity and multiple illnesses of adult hospitalized internal medicine patient and mortality. The observational study will also evaluate the association between pre-existing factors at hospitalization and clinical outcomes such as mortality, length of hospital stay, intensity of care (transfer to units with higher clinical intensity), complications and rehospitalization. For data collection, four index weeks will be identified during the year in which the participating Centers will have to sequentially enroll all the participants who will be admitted to the Internal Medicine units, until reaching, for each index week, 10 participants for each of the Participating Centers. Each enrolled participant will undergo a 12-month follow-up. The study foresees the enrollment of 2326 participants.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Jun 2024
Longer than P75 for all trials
12 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
June 24, 2024
CompletedFirst Submitted
Initial submission to the registry
February 25, 2025
CompletedFirst Posted
Study publicly available on registry
March 12, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2028
ExpectedStudy Completion
Last participant's last visit for all outcomes
June 1, 2028
March 12, 2025
March 1, 2025
3.9 years
February 25, 2025
March 10, 2025
Conditions
Outcome Measures
Primary Outcomes (1)
to evaluate the correlation between clinical complexity/multimorbidity of the hospitalized internal medicine patient, defined by the Cumulative Illness Rating Scale (CIRS), and mortality.
to evaluate the correlation between clinical complexity/multimorbidity of the hospitalized internal medicine patient, defined by the Cumulative Illness Rating Scale (CIRS), and mortality. Cumulative Illness Rating Scale: severity index (minimum value is 1, maximum value is 5), comorbidity index (minimum value is 0, maximum value is 13). Higher scores mean worse outcome.
12 months
Secondary Outcomes (1)
to evaluate the correlation between pre-existing factors at hospitalization and clinical outcomes - to evaluate the association between disease severity parameters and clinical outcomes
12 months
Eligibility Criteria
adult hospitalized internal medicine patient
You may qualify if:
- Patients of legal age (age \>= 18 years).
- Informed consent according to Italian law.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (12)
AOU Policlinico di Bari- Unità Operativa di Medicina Interna "Guido Baccelli
Bari, Italy, 70124, Italy
Azienda Ospedaliero Universitaria di Bologna Policlinico S. Orsola - Malpighi- UO Medicina interna, malattie epatobiliari e immunoallergologiche
Bologna, Italy, 40138, Italy
ASST degli Spedali Civili di Brescia- Medicina Generale 2
Brescia, Italy, 25121, Italy
Azienda Ospedaliero-Universitaria S. Anna di Ferrara- Clinica Medica
Ferrara, Italy, 44124, Italy
Ospedale Santa Maria Annunziata, Bagno a Ripoli, Firenze- Medicina 1
Florence, Italy, 50012, Italy
AOU G. Martino- UOC Medicina Interna
Messina, Italy, 98124, Italy
ASST Fatebenefratelli Sacco, Ospedale Luigi Sacco- Struttura Complessa di Medicina Interna
Milan, Italy, 20157, Italy
AOU Modena - Policlinico di Modena - S.C. Medicina Interna
Modena, Italy, 44124, Italy
Azienda Ospedaliera Universitaria Federico II, Napoli- UOC Medicina Interna ad indirizzo metabolico e riabilitativo
Napoli, Italy, 80131, Italy
Ospedale Maggiore della Carità di Novara- SCDU Medicina Interna 1, AOU Maggiore della Carità
Novara, Italy, 28100, Italy
Policlinico Universitario Campus Bio-Medico di Roma- UOC Medicina Interna
Roma, Italy, 00128, Italy
Azienda Ospedaliero-Universitaria Sant'Andrea- UOC Medicina Interna
Roma, Italy, 00189, Italy
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 25, 2025
First Posted
March 12, 2025
Study Start
June 24, 2024
Primary Completion (Estimated)
June 1, 2028
Study Completion (Estimated)
June 1, 2028
Last Updated
March 12, 2025
Record last verified: 2025-03