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Идёт набор NCT07351526

Inpatient Post-Acute Rehabilitation For Patients in the Midwest: a Prospective Cohort Study of Clinical Characteristics and Process Outcomes

— Наблюдательное Rehabilitation Frailty Complex Patients in Rehabilitation Phase

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают
Это наблюдательное исследование: исследуемое лечение участникам по протоколу не назначают.
Кому может быть актуально
Состояния в реестре: Rehabilitation, Frailty, Complex Patients in Rehabilitation Phase. Базовые параметры: от 18 лет · Все.
Что важно проверить
Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится
Ирландия
Следующий шаг
Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →

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Обзор

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.

Подробное описание

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.

Первичные конечные точки

  • Incidence of functional decline [Срок оценки: Baseline]
  • Incidence of functional decline [Срок оценки: From the date on inception into the study until the date of discharge from hospital, assessed up to 6 months]
  • Incidence of Functional Decline [Срок оценки: 6 Months]
Вторичные конечные точки (12)
  • Healthcare use [Срок оценки: 6 Months]
  • Polypharmacy level [Срок оценки: Baseline]
  • Polypharmacy level [Срок оценки: From the date on inception into the study until the date of discharge from hospital, assessed up to 6 months]
  • Polypharmacy level [Срок оценки: 6 Months]
  • Frailty [Срок оценки: From the date on inception into the study until the date of discharge from hospital, assessed up to 6 months]
  • Frailty [Срок оценки: 6 months]
  • Quality of life (EuroQoL-5 dimension 5 level questionnaire) [Срок оценки: Baseline]
  • Quality of life (EuroQoL-5 dimension 5 level questionnaire) [Срок оценки: 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) [Срок оценки: 6 Months]
  • Nursing Home Admission [Срок оценки: 6 Months]
  • Mortality [Срок оценки: 6 Months]
  • Falls [Срок оценки: 6 Months]

Критерии участия

Критерии включения

  • Patients aged 18 and over and admitted to a relevant rehabilitation unit with capacity to provide consent for inclusion.

Критерии исключения

  • Pregnant women and patients who are deemed not to have capacity to consent.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Модель наблюдения
Когортное

Центры проведения

Ирландия · 1 центр
  • School of Allied Health, University of Limerick — Limerick

Публикации

  • 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

Идентификаторы

NCT: NCT07351526 · 0164

Первоисточники (государственные реестры)

Открыть это исследование на ClinicalTrials.gov ↗