Trends of Patient-reported Outcome Measures (PROMs) in Multimorbid Medical Patients Hospitalized for an Acute Illness (TRADUCE)

Lausanne University Hospital (CHUV)

Status: Enrolling

Conditions: Internal Medicine; PREM; Quality of Care; PROM

Treatments: Other: Hospitalization

Study type: Observational

Funder types: Other

Identifiers

NCT06597318

2023-00200

Details and patient eligibility

About

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.

Enrollment: 1,000 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

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

Trial design

1,000 participants in 1 patient group

multimorbid patients in general internal medicine divisions of all five Swiss university hospitals

Treatment:

Other: Hospitalization