Due to demographic change in Switzerland, the proportion of older people in the population is expected to increase. It is therefore important that people in old age remain in the best of health and maintain their independence for a long time. To this end, the investigators would like to demonstrate the effectiveness of inpatient geriatric rehabilitation at the Valens clinics. This will be done by comparing independence, quality of life, physical and mental health, mobility and hand strength on admission and discharge.
Study Type
OBSERVATIONAL
Enrollment
753
Kliniken Valens, Rehazentrum Walenstadtberg
Walenstadtberg, St.Gallen, Switzerland
Classification of diagnosis into internal medicine, neurological, or orthopedic/surgical categories
Number of participants with diagnoses are divided into 3 groups: internal medicine, neurology and orthopedic/surgical. The diagnoses are determined and documented at hospital admission based on prior clinical assessments, laboratory results, and imaging studies. They are classified into one of three categories: Internal medicine (e.g., cardiovascular, respiratory diseases), Neurological (e.g., stroke, neuropathies) or Orthopedic/surgical (e.g., fractures, joint disorders). This classification reflects the patient's primary diagnosis at the time of study enrollment.
Time frame: At baseline (upon hospital admission and study enrollment)
Cumulative Health Rating Scale (CIRS)
The Cumulative Illness Rating Scale is a tool used to measure the overall burden of chronic illnesses across multiple organ systems. Each system is rated from 0 (no problem) to 4 (severe problem), and the scores are added up to reflect a patient's total morbidity. It is commonly used in geriatrics to assess multimorbidity and help predict health outcomes.
Time frame: At baseline (upon hospital admission and study enrollment)
Functional Independence Measure (FIM)
The FIM assesses how independently a person can perform daily activities. It uses an 18-item scale covering motor and cognitive tasks, each rated from 1 (total assistance needed) to 7 (complete independence). The total score reflects the level of disability and the amount of assistance required for daily living. Higher scores mean greater independence.
Time frame: At baseline (upon hospital admission and study enrollment) and at discharge from the clinic after a stay of approx. 21 days
Health-related quality of life (EQ5D-5VAS)
The EQ-5D-5VAS is a brief, standardized questionnaire for measuring health-related quality of life. It consists of two parts Descriptive system: Assesses five dimensions-mobility, self-care, usual activities, pain/discomfort, and anxiety/depression-each with five levels of severity, allowing patients to describe their health state precisely and Visual Analogue Scale (VAS): Patients rate their overall health on a scale from 0 (worst imaginable health) to 100 (best imaginable health), providing a quantitative self-assessment
Time frame: At baseline (upon hospital admission and study enrollment) and at discharge from the clinic after a stay of approx. 21 days
Patient Reported Outcomes Measurement Information System - (PROMIS-10)
It is a short, 10-item questionnaire that measures subjective physical and mental health from the patient's perspective. It covers areas like physical function, pain, fatigue, emotional distress and social health. It helps researchers understand how the patients are feeling in terms of both body and mind. Higher scores indicate better health.
Time frame: At baseline (upon hospital admission and study enrollment) and at discharge from the clinic after a stay of approx. 21 days
Timed Up and Go Test (TUG)
The Timed Up and Go (TUG) test is a simple test for assessing mobility and balance. The person stands up from a chair, walks three meters, turns around, walks back, and sits down again. The time required to complete the task is measured.
Time frame: At baseline (upon hospital admission and study enrollment) and at discharge from the clinic after a stay of approx. 21 days
Grip strength measured by the Jamar Hand Dynamometer
The Jamar Hand Dynamometer is a standardized instrument used to measure grip strength, which reflects the maximum force exerted by the hand muscles during a squeeze. The grip strength is an important functional outcome and indicator of overall muscle strength and physical health. It is a reliable, non-invasive, and easy-to-administer test that provides valuable information about the participant's muscular strength and functional status. Participants will be asked to squeeze the dynamometer handle with maximum effort for a few seconds. The device will record the force applied, reported in kilograms.
Time frame: At baseline (upon hospital admission and study enrollment) and at discharge from the clinic after a stay of approx. 21 days
Age of participants
Participant age will be recorded in years at the time of study enrollment. Age is an important demographic variable used to characterize the study population and to analyze outcomes by age groups if applicable.
Time frame: At baseline (upon hospital admission and study enrollment)
Gender of participants
Participant gender will be recorded as male, female, or other at the time of study enrollment. Gender is a key demographic variable to describe the study population and analyze potential differences in outcomes.
Time frame: At baseline (upon hospital admission and study enrollment)
Marital status of participants
Marital status will be recorded at the time of study enrollment and categorized as single, married, divorced, widowed, or other. This demographic information helps to characterize the study population and may be used to analyze its influence on health outcomes.
Time frame: At baseline (upon hospital admission and study enrollment)
Place of residence of participants
Participants' place of residence will be recorded at the time of study enrollment. This information may include urban or rural status, region, or postal code. It helps to describe the study population and assess potential geographic influences on health outcomes.
Time frame: At baseline (upon hospital admission and study enrollment)
Length of hospital stay
The length of hospital stay will be recorded in days, calculated from the date of admission to the date of discharge. This measure reflects the duration of inpatient treatment and may be used to evaluate resource utilization and recovery time.
Time frame: From the beginning of the study (at hospitalization and admission to the study) until discharge from the clinic after a stay of approx. 21 days
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.