Incidence and Risk Factors for Hospitalization-Associated Disability

Universitaire Ziekenhuizen KU Leuven80 enrolled

Overview

This prospective cohort study aims to determine the incidence of hospitalization-associated disability and its association with risk factors at the patient level and with care and hospital processes. For this, patients aged 70 years or older admitted for elective valve surgery or elective transcatheter aortic valve implantation or as a result of symptomatic moderate to severe valvular heart disease will be consecutively included from 01 October 2015 to 29 February 2016.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Functional Decline Hospitalization-associated Disability Iatrogenic Disease

Interventions

Not applicable (observational design)PROCEDURE

Eligibility

Sex: ALLMin age: 70 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Aged 70 years or older * Admitted for elective heart valve surgery (replacement, repair or combined with CABG) or if admitted for elective transcatheter aortic valve implantation, or if a patient presents with symptomatic moderate to severe valvular heart disease on hospital admission as evidenced by moderate to severe valve regurgitation (≥ 2/4) or aortic valve area ≤ 1cm2 or mitral valve area ≤ 1.5cm2 and if one of the following symptoms is present: heart failure, decreased exercise tolerance, (exertional) dyspnea, (exertional) angina, (exertional) syncope * Dutch speaking Exclusion Criteria: * Life expectancy less than 6 months * Expected length of stay less than 48 hours

Locations (1)

Universitaire Ziekenhuizen Leuven

Leuven, Vlaams-Brabant, Belgium

Outcomes

Primary Outcomes

Hospitalization-associated Disability

The loss of ability to complete one of the basic ADLs independently between baseline and hospital discharge.