Discharge Recommendations for Older Adults Using Physical Outcome Measure

NCT06903832 | Recruiting DMC

• 1 other identifier: 2024/3331
• Study Type: observational
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this study is to explore if the use of Sit to Stand Test and Gait speed Test could assist physiotherapist with discharge planning decisions for older adults who are admitted to an acute hospital.

Conditions

Discharge Planning; Older Adults (65 Years and Older); Acute Hospitalization; OUTCOME MEASURES

Keywords

Discharge planning; Acute Hospitalization; Physical outcome measure; older adults; Gait Speed Test; Five Times Sit to Stand Test

Outcome Measures

Primary Outcomes (2)

• Five Times Sit To Stand Test (STS)

  STS will be used to test the lower limb strength, balance control and falls risk. Participants will have to stand up and sit down five times started from a seated position, with arms across their chest. The test will have to be conducted as fast as possible using a chair with a backrest. The time taken to complete 5 repetitions will be recorded. Two trials will be performed. A cut-off score of ≥ 12s will be considered at risk of falling.

  During Enrollment while admitted in acute hospital

• Gait Speed Test

  A 4m walk test will be used to measure gait speed. Participant will walk through a 4-metre distance at comfortable speed. The time taken to complete the distance will be recorded. Two trials will be performed. Gait speed of ≤ 0.6m/s would be termed as dismobility according to Cummings et al., (2014) which would be reflected of having poor mobility and will require intervention.

  During Enrollment while admitted in acute hospital

Secondary Outcomes (9)

• Calf Circumference

  During Enrollment while admitted in acute hospital

• Hand grip strength

  During Enrollment while admitted in acute hospital

• Lower limb muscle strength using hand-held dynamometer

  During Enrollment while admitted in acute hospital

• Modified Barthel Index (MBI)

  During Enrollment while admitted in acute hospital and 2 weeks post-discharge

• Short Falls Efficacy Scale International (Short FES-I)

  During Enrollment while admitted in acute hospital and 2 weeks post-discharge

Eligibility Criteria

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

Study Population

Older adults admitted to inpatient wards in the National University Hospital (Singapore).

You may qualify if:

• Aged 65 years and older
• Able to ambulate without physical assistance with or without walking aids as per premorbid status for at least 5 metres
• Clinical Frailty Scale (CFS) of ≤ 5
• Able to follow instructions (Abbreviated Mental Test (AMT) ≥ 5)

You may not qualify if:

• Admitted for acute orthopaedic or neurological conditions with physical deficits that affect functional mobility
• Requires physical assistance for functional mobility from ≥ 1 person
• Clinical Frailty Scale (CFS) of \> 5
• AMT \< 5 (Lack capacity to consent to study)

Sponsors & Collaborators

• National University Hospital, Singapore: lead
• Singapore Institute of Technology: collaborator

Study Sites (1)

National University Hospital, Singapore

Singapore, 119074, Singapore

RECRUITING

Related Publications (29)

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Central Study Contacts

Hui Ying Koh

CONTACT

(65) 67725256; hui_ying_koh@nuhs.edu.sg

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: March 28, 2025
• First Posted: April 1, 2025
• Study Start: April 1, 2025
• Primary Completion: March 31, 2026
• Study Completion (Estimated): September 30, 2026
• Last Updated: April 30, 2025

Record last verified: 2025-03

Data Sharing

• IPD Sharing: Will not share

Locations

SG (1)