Inpatient Post-Acute Rehabilitation For Patients in the Midwest: a Prospective Cohort Study of Clinical Characteristics and Process Outcomes
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
- This is an observational study: the protocol does not assign a study treatment.
- Who it may be relevant to
- Registry conditions: Rehabilitation, Frailty, Complex Patients in Rehabilitation Phase. 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
- Ireland
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Overview
Rehabilitation improves health outcomes, reduces disability and improves quality of life. There is a significant and emerging body of international evidence to support the benefit and cost effectiveness of specialist rehabilitation services within a modern health service. The demand for rehabilitation services is growing with changes in populations and with the advances in health care and new interventions and technology. Our overall aim is to explore the outcomes and clinical characteristics of adults who are admitted to a rehabilitation hospital in the Midwest region of Ireland during admission, at the time of their discharge and at 6 months.
Detailed description
Rehabilitation is a dynamic and critical component of the therapeutic continuum and one that is essential if patients are to regain or maintain their life roles, health status and quality of life after serious illness or injury.
The World Health Organisation (WHO) recommends in its definition that priority is given to ensure access, for those in need, to appropriate, timely, affordable and high-quality rehabilitation interventions.
Life expectancy is improving and the population of older persons is growing with increased demand for specialist rehabilitation services. This population is at increased risk for functional decline and increased demand for healthcare services. With older adults accounting for up to 24% of all ED attendees and an anticipated rise in this number, this places increased strain on the healthcare system
The aim of this study is to establish the demographic and clinical characteristics of adults in the Midwest referred, assessed and treated in St Ita's Rehabilitation Hospital in the Mid- West of lreland.
This study will inform on resource requirements of our rehabilitation facilities to ensure that the complexity of the patients are matched by the resources provided. We will also explore the benefits of rehabilitation across a broad range of conditions and evaluate the outcomes for patients including patient reported measures.
Primary outcome measures
- Incidence of functional decline [Time frame: Baseline]
- Incidence of functional decline [Time frame: From the date on inception into the study until the date of discharge from hospital, assessed up to 6 months]
- Incidence of Functional Decline [Time frame: 6 Months]
Secondary outcome measures (12)
- Healthcare use [Time frame: 6 Months]
- Polypharmacy level [Time frame: Baseline]
- Polypharmacy level [Time frame: From the date on inception into the study until the date of discharge from hospital, assessed up to 6 months]
- Polypharmacy level [Time frame: 6 Months]
- Frailty [Time frame: From the date on inception into the study until the date of discharge from hospital, assessed up to 6 months]
- Frailty [Time frame: 6 months]
- Quality of life (EuroQoL-5 dimension 5 level questionnaire) [Time frame: Baseline]
- Quality of life (EuroQoL-5 dimension 5 level questionnaire) [Time frame: From the date on inception into the study until the date of discharge from hospital, assessed up to 6 months]
- Quality of life (EuroQoL-5 dimension 5 level questionnaire) [Time frame: 6 Months]
- Nursing Home Admission [Time frame: 6 Months]
- Mortality [Time frame: 6 Months]
- Falls [Time frame: 6 Months]
Eligibility criteria
Inclusion criteria
- Patients aged 18 and over and admitted to a relevant rehabilitation unit with capacity to provide consent for inclusion.
Exclusion criteria
- Pregnant women and patients who are deemed not to have capacity to consent.
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
Ireland · 1 center
- School of Allied Health, University of Limerick — Limerick
Publications
- Zhang S, Lin D, Wright ME, Swallow N. Acute Inpatient Rehabilitation Improves Function Independent of Comorbidities in Medically Complex Patients. Arch Rehabil Res Clin Transl. 2022 Jan 12;4(2):100178. doi: 10.1016/j.arrct.2022.100178. eCollection 2022 Jun. PMID 35756989
- Wang H, Camicia M, DiVita M, Mix J, Niewczyk P. Early inpatient rehabilitation admission and stroke patient outcomes. Am J Phys Med Rehabil. 2015 Feb;94(2):85-96; quiz 97-100. doi: 10.1097/PHM.0000000000000226. PMID 25569470
Identifiers
NCT: NCT07351526 · 0164