Trends of Patient-reported Outcome Measures (PROMs) in Multimorbid Medical Patients Hospitalized for an Acute Illness
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Hospitalization.
- Who it may be relevant to
- Registry conditions: PROM, PREM, Quality of Care, Internal Medicine. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Switzerland
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
currently, PROMs and PREMs are not routinely collected and compared among medical inpatients of Swiss university hospitals, nor is a standard set of PROMs and PREMs available for use in Swiss hospitals. The project aims to examine trends in patient-reported outcomes (PROMs), including symptoms, quality of life, and distress, in multimorbid hospitalized patients from admission to 30 days post-discharge. It will also investigate whether PROMs at discharge are linked to the risk of readmission or emergency visits and explore how these outcomes differ in patients who receive low-value care. Additionally, the project will assess the relationship between patient-reported experiences (PREMs) and the provision of low-value care during the hospital stay.
Interventions
- Other Hospitalization
The investigators collect PROMs amongst up to 1000 patients in general internal medicine divisions of all five Swiss university hospitals
Primary outcome measures
- Correlation of PROMS with the risk of readmission [Time frame: Day 1, Day 3, at the day of discharge (approximately day 8) and Day 30 after discharge from Hospital]
Secondary outcome measures (3)
- Correlation of PROMs at discharge and risk of hospital readmission or ED visits [Time frame: Day 30 after discharge from hospital]
- Exploration of PROMs in patients who receive low-value care [Time frame: Day 1, Day 3, at the day of discharge (approximately day 8) and Day 30 after discharge from Hospital]
- Explore PREMs [Time frame: Since 24 hours after beginning of the hospitalization up to Discharge from Hospital (approximately day 8)]
Eligibility criteria
Inclusion criteria
- eligible for the LUCID registry (CER-VD AO\_2023-00029) \[Age ≥ 18 years, hospitalized in one of the five participating university hospitals (Geneva, Lausanne, Bern, Zürich, Basel), after 01.01.2014, and admitted to general internal medicine wards
- Multimorbid patients (2 or more chronic diseases, defined as chronic conditions defined by international classification of diseases, 10th revision, codes with an estimated expected duration of at least 6 months or based on a clinical decision.
- Acute illness
- Signature of study specific informed consent
Exclusion criteria
- Not able to speak French, German or English
- Foreseen length of stay of less than 4 days (estimated by study collaborators)
- Prior inclusion in the TRADUCE study
- Incapacity of discernment, i.e. cognitive impairment which could interfere with the ability to fill in PROMs tools
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Observational model
- Cohort
Study locations
Switzerland · 1 center
- Lausanne University Hospital — Lausanne
Identifiers
NCT: NCT06597318 · 2023-00200