Background
Methods/Design
Study design and setting
Patients
Procedures
Time | Location | Content of assessment | Duration (minutes) |
---|---|---|---|
H1 (Within 48 h after admission) | Hospital
| Medical & demographical data | 60 |
Socio-demographic characteristics | |||
Medical comorbidity | |||
Geriatric conditions | |||
Severity of acute illness (medical record) | |||
Personal interview/self-report data | |||
Cognitive functioning | |||
ADL/physical functioning | |||
Behavioral & psychosocial functioning | |||
Health care utilization (medical record) | |||
Physical performance tests | |||
Blood parameters | |||
H2 (During hospital stay on Monday-Wednesday-Friday) | Hospital
| Medical & demographical data | 20–30 |
Severity of acute illness (medical record) | |||
Short personal interview/self-report data | |||
Physical performance tests | |||
Blood parameters | |||
H3 (At hospital discharge) | Hospital
| Personal interview/self-report data | 40 |
Cognitive functioning | |||
ADL/Physical functioning | |||
Behavioral and psychosocial functioning | |||
Physical performance tests | |||
Blood parameters | |||
P1 (One month post-discharge) | Home visit
| Medical & demographical data | 60 |
Socio-demographic characteristics | |||
Geriatric conditions | |||
Personal interview/self-report data | |||
Cognitive functioning | |||
ADL/physical functioning | |||
Behavioral & psychosocial functioning | |||
Health care utilization | |||
Physical performance tests | |||
P2 (Two months post-discharge) | By telephone
| Personal interview/self-report data | 20 |
ADL/physical functioning | |||
Behavioral and psychosocial functioning | |||
Health care utilization | |||
P3 (Three months post-discharge) | Home visit
| Medical & demographical data | 60 |
Socio-demographic characteristics | |||
Geriatric conditions | |||
Personal interview/self-report data | |||
Cognitive functioning | |||
ADL/physical functioning | |||
Behavioral & psychosocial functioning | |||
Health care utilization | |||
Physical performance tests | |||
Mortality (medical record) |
Primary outcome
Secondary outcomes
Scales and assessments
Question or instrument | H1
| H2
| H3
| P1
| P2
| P3
| |
---|---|---|---|---|---|---|---|
1. Medical & demographical data | |||||||
Age | Date of birth | ×* | |||||
Gender | × | ||||||
Postal code | × | ||||||
Date and time of admission | ×* | ||||||
Education | (In accordance with Verhage, 1966 [57]) | × | |||||
Ethnicity | Country of birth patient and parents | × | |||||
Marital status [18] | × | ||||||
× | × | × | |||||
Medical comorbidity | CCI [21] | ×* | |||||
Severity of acute illness | MEWS [22] | ×* | ×* | ×* | |||
Admission diagnosis | ×* | ||||||
2. Personal interviews/self-report data | |||||||
2.1 Cognitive functioning | |||||||
Cognitive impairment | MMSE [23] | × | × | × | × | ||
Delirium | × | ||||||
Assessing whether: 1] the patient needs help with self-care; 2] the patient has previously undergone a delirium and; 3] the patient has a cognitive impairment [25] | ×* | ||||||
2.2 Behavioral & psychosocial functioning | |||||||
Fear of falling | NRS fear of falling | × | × | × | × | × | × |
Anxiety | STAI-6 [31] | × | × | × | × | × | |
Apathy | GDS-15 [29] | × | × | × | × | × | |
General self-efficacy | ALCOS-12 [34] | × | × | × | |||
Quality of life | 1] In general, how is your quality of life?; 2] How would you grade your life at this moment, with a range between 0 and 10? and; 3] Compared to one year ago, how would you rate your health in general now? [18] | × | × | × | × | × | |
EQ-5D [20] | × | × | × | × | × | ||
2.3 ADL/Physical functioning | |||||||
Disability in ADLs | × | × | × | × | × | ||
Independency in walking | FAC [42] | × | × | × | × | × | × |
Mobility | Could you walk outside for 5 minutes two weeks before admission/currently? And how often did/do you do physical activity two weeks before admission/currently? [19] | × | × | × | × | × | |
Falls | Have you fallen once or more in the past (six) month(s)? If yes, how many times? [25] | × | × | × | × | × | |
Pain | NRS pain [35] | × | × | × | × | × | × |
Fatigue | NRS fatigue [37] | × | × | × | × | × | × |
Impact of fatigue | MFIS-5 [38] | × | × | × | |||
Sleep quality | PSQI [39] | × | × | × | × | × | |
Sleep medication | PSQI [39] | × | × | × | × | × | |
Daytime sleepiness | Do you currently suffer from daytime sleepiness? If yes, does this affect your daily living? | × | × | × | × | × | × |
Polynocturia | Do you currently suffer from polynocturia? If yes, does this affect your daily living? | × | × | × | × | × | × |
Dizziness | Do you currently suffer from dizziness? If yes, does this affect your daily living? | × | × | × | × | × | × |
Shortness of breath | Do you currently suffer from shortness of breath? If yes, does this affect your daily living? | × | × | × | ×× | × | × |
Hearing impairment | Do you experience difficulties with hearing, despite the use of a hearing aid? | × | × | × | |||
Vision impairment | Do you experience difficulties with your vision, despite the use of glasses? | × | × | × | |||
Nutrition | × | × | × | × | × | ||
Dependency | Do you smoke? Do you use alcohol [19]? | × | × | × | |||
Polypharmacy | Do you use five or more different medications [19]? | × | × | × | |||
2.4 Health care utilization | |||||||
Readmission | Have you been hospitalized in the last (six) month(s)? If yes, for how many days? [18] | ×* | × | × | × | ||
Nursing home admission | Have you had a nursing home admission in the last month? If yes, for how many weeks totally? [18] | × | × | × | |||
Consult physiotherapist and/or occupational therapist | Have you had a consultation with your physiotherapist and/or occupational therapist in the last month? If yes, how many times? | × | × | × | |||
Consult general practitioner | Have you had a consultation with your general practitioner in the last month? If yes, in the evening, night or weekend and how many times totally? [19] | × | × | × | |||
Home care | Do you use home care? If yes, care assistance and/or domestic help and how many hours per week [19] | × | × | × | |||
3. Physical performance tests | |||||||
Handgrip strength | × | × | × | × | × | ||
Mobility | DEMMI [45] | × | × | × | × | × | |
Agility | CSR [47] | × | × | × | × | × | |
Balance, strength, and gait | SPPB [46] | × | × | × | × | × | |
Walking distance | 2MWT [49] | × | × | × | × | × | |
Body composition | BIA (Bodystat Quadscan 4000) [50] | × | × | × | × | × | |
Activity tracker | Fitbit Flex [51] | × | × | × | × | × | |
Question or instrument | H1
| H2/H3
| P1
| P2
| P3
| ||
4. Blood parameters | |||||||
Inflammation markers | CRP [52] | × | × | ||||
WBC diff | × | × | |||||
× | × | ||||||
× | × | ||||||
IL-8 [55] | × | × | |||||
Mortality | Date of death | ×* |