Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Class |
|---|---|
| Insel Gruppe AG, University Hospital Bern | OTHER |
| University Hospital, Geneva | OTHER |
| University Hospital, Zürich | OTHER |
| University Hospital, Basel, Switzerland |
Not provided
Not provided
Not provided
Not provided
Not provided
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.
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| multimorbid patients in general internal medicine divisions of all five Swiss university hospitals |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Hospitalization | Other | The investigators collect PROMs amongst up to 1000 patients in general internal medicine divisions of all five Swiss university hospitals |
|
| Measure | Description | Time Frame |
|---|---|---|
| Correlation of PROMS with the risk of readmission | The primary objective of the project is to explore trends in PROMs (using the Edmonton Symptom Assessment System (ESAS-r), the EQ-5D-5L index,45 and the National Comprehensive Cancer Network (NCCN) distress thermometer) of multimorbid medical hospitalized patients, from admission until 30-days post-discharge. The patients-reported outcomes will consist of patients-reported symptoms, quality of life and distress | Day 1, Day 3, at the day of discharge (approximately day 8) and Day 30 after discharge from Hospital |
| Measure | Description | Time Frame |
|---|---|---|
| Correlation of PROMs at discharge and risk of hospital readmission or ED visits | assess whether PROMs ((using the Edmonton Symptom Assessment System (ESAS-r), the EQ-5D-5L index,45 and the National Comprehensive Cancer Network (NCCN) distress thermometer) at discharge are associated with the risk of hospital readmission or of emergency department visit within the next 30 days; | Day 30 after discharge from hospital |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Patients with 2 or more chronic diseases, hospitalized in general internal medicine divisions of all five Swiss university hospitals
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Marie Méan, MD | Contact | +41 213141111 | marie.mean@chuv.ch |
| Name | Affiliation | Role |
|---|---|---|
| Jerome Stirnemann, MD | University Hospital, Geneva | Principal Investigator |
| Carole Aubert, MD | Bern University Hospital | Principal Investigator |
| Florence Vallelian Cervetto, MD |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Lausanne University Hospital | Recruiting | Lausanne | Canton of Vaud | 1005 | Switzerland |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| ID | Term |
|---|---|
| D006760 | Hospitalization |
| ID | Term |
|---|---|
| D005791 | Patient Care |
| D013812 | Therapeutics |
| D006296 | Health Services |
| D005159 | Health Care Facilities Workforce and Services |
Not provided
Not provided
| OTHER |
Not provided
Not provided
Not provided
| Exploration of PROMs in patients who receive low-value care | explore whether PROMs ((using the Edmonton Symptom Assessment System (ESAS-r), the EQ-5D-5L index,45 and the National Comprehensive Cancer Network (NCCN) distress thermometer) trends vary in patients who do or do not receive low value care (LVC); | Day 1, Day 3, at the day of discharge (approximately day 8) and Day 30 after discharge from Hospital |
| Explore PREMs | Explore information on Patient Reported Experiences Measures (PREMs) using a qualitative questionnaire during patients' stay at the hospital, and whether there is a correlation between the provision of LVC and qualitative analysis of PREMs | Since 24 hours after beginning of the hospitalization up to Discharge from Hospital (approximately day 8) |
| Zürich University Hospital |
| Principal Investigator |
| Stefano Bassetti, MD | Basel University Hospital | Principal Investigator |