Reliability of the interRAI suite of assessment instruments: a 12-country study of an integrated health information system

Hirdes, John P.; Ljunggren, Gunnar; Morris, John N.; Frijters, Dinnus; Soveri, Harriet Finne; Gray, Leonard C.; Björkgren, Magnus; Gilgen, R

doi:10.1186/1472-6963-8-277

Cited by 517 publications

(521 citation statements)

References 26 publications

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“…The interRAI family of assessment instruments and their related applications comprise an integrated health information system that captures important health and service utilization domains of individuals requiring care (gray et al 2009;Hirdes et al 1999Hirdes et al , 2008a. since 2004, all Ontario ALC patients waiting for a LTC bed in acute and complex hospitals, and who are not expected to go home, receive the hospital version of the RAI-HC assessment to initiate their LTC application process.…”

Section: Datamentioning

confidence: 99%

Clinical Characteristics and Service Needs of Alternate-Level-of-Care Patients Waiting for Long-Term Care in Ontario Hospitals

Costa

Hirdes²

2010

hcpol

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Background: Alternate-level-of-care (ALC) patients waiting for admission to longterm care (LTC) in Ontario hospitals are an important subgroup of ALC patients. understanding the characteristics of ALC patients waiting for LTC can identify opportunities for alternative discharge options. Methods: Characteristics from a sample of 13,915 ALC patients waiting for LTC in acute and complex hospitals were analyzed and compared to those from a sample of 113,046 long-stay home care clients in Ontario. Population-level data were obtained using Ontario' s RAI-HC database for the period January 2007 to september 2008. Findings: Relative to older long-stay home care clients, ALC patients waiting for LTC admission have more functional impairment and complex health needs. A combination of targeted transitional care and more resource-intensive home care services are needed to successfully address ALC patients' care needs in the community. Conclusions: A substantial portion of ALC patients waiting for LTC placement in acute and complex care hospitals may be more appropriately cared for in community settings if adequate community-centred resources are put in place.

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Section: Datamentioning

confidence: 99%

Clinical Characteristics and Service Needs of Alternate-Level-of-Care Patients Waiting for Long-Term Care in Ontario Hospitals

Costa

Hirdes²

2010

hcpol

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“…10,22 The RAI 2.0 is administered by trained assessors who use available information from chart review and interaction with residents, their families, and the clinical staff who work with them. In Canada, it is administered within 14 days of admission to the LTC facility, on a quarterly basis thereafter, or as needed if there is a significant change in status.…”

Section: Methodsmentioning

confidence: 99%

Who Receives Rehabilitation in Canadian Long-Term Care Facilities? A Cross-Sectional Study

McArthur¹,

Hirdes

Berg

et al. 2015

Physiotherapy Canada

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Purpose: To describe the proportion of residents receiving occupational therapy (OT) and physical therapy (PT) and the factors associated with receiving PT in long-term care (LTC) facilities across five provinces and one territory in Canada. Methods: Using a population-based, retrospective analysis of crosssectional data, the proportion of LTC facility residents in each province or territory receiving three different amounts (time and frequency) of PT, OT, or both before July 1, 2013, was calculated according to the Resource Utilization Groups-III rehabilitation classifications. Twenty-three variables from the Resident Assessment Instrument 2.0, such as age and cognition, were examined as correlates; those significant at p < 0.01 were included in a multivariate logistic regression. Results: Between 63.7% and 88.6% of residents did not receive any PT or OT; 0.8%-12.6% received both PT and OT; 5.8%-29.5% received an unspecified amount of PT; 1.9%-7.0% received 45 minutes or more of PT 3 days or more per week; and fewer than 1% received 150 minutes or more of PT on 5 or more days per week. Province, age, cognitive status, depression, clinical status, fracture, multiple sclerosis, and self-rated potential for improvement were associated with PT irrespective of time intensity. Conclusions: The proportion of LTC residents receiving rehabilitation services varies across Canada and appears to be associated with physical impairments and the potential for improvement; older residents with cognitive impairment or mood disorders are less likely to receive rehabilitation services. Future recommendations should consider what is driving the patterns of service use, determine whether the resources available are appropriate, and address the most appropriate goals for residents in LTC.Key Words: aged; long-term care; occupational therapy; rehabilitation. RÉ SUMÉObjet: Dé crire la proportion de ré sidents qui reç oivent des soins d'ergothé rapie (ET) et de physiothé rapie (PT) ainsi que les facteurs associé s à la ré ception de soins de PT dans des é tablissements de soins de longue de cinq provinces et d'un territoire au Canada. Mé thodes: À l'aide d'une analyse ré trospective de donné s transversales fondé e sur la population, la proportion de ré sidents des é tablissements de soins de longue duré e dans chaque province ou territoire qui recevaient trois combinaisons diffé rentes (temps et fré quence) de soins de PT ou d'ET avant le 1 er juillet 2013 a é té calculé e en fonction des groupes d'utilisation des ressources-classifications de ré adaptation III. Un total de 23 variables de la mé thode d'é valuation RAI 2.0, comme l'â ge et la cognition, ont é té examiné es en tant que corré lats; les variables significatives au seuil de p < 0.01 ont é té incluses dans une ré gression logistique à variables multiples. Ré sultats: De 63,7% à 88,6% des ré sidents n'ont pas reç u de soins de PT ou d'ET; de 0,8% à 12,6% des ré sidents ont reç u les deux types de soins; de 5,8% à 29,5% des ré sidents ont reç u une quantité non pré c...

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“…The suite of assessment instruments includes a variety of clinical scales, such as the Cognitive Performance Scale (CPS) 14 , the Depression Rating Scale (DRS) 15 , the Changes in Health, End Stage Disease and Signs and Symptoms (CHESS) Scale 16 , the Activities of Daily Living Hierarchy Scale (ADLH) 17 , the Aggressive Behaviour Scale (ABS) 18 , the Pain Scale 19 and the Instrumental Activities of Daily Living Scale (IADL) 20 . The reliability and validity of the interRAI instruments have been widely demonstrated [21][22][23][24] .…”

Section: Clinical Measuresmentioning

confidence: 99%

Profile of Patients with Amyotrophic Lateral Sclerosis Across Continuum of Care

Kehyayan

Hirdes

2014

Can. J. Neurol. Sci.

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246Amyotrophic lateral sclerosis (ALS) is a fatal degenerative disease involving motor neurons in the brain and spinal cord [1][2][3] . The annual age-adjusted incidence rate for ALS is about 2 per 100,000 in Canada 4 . Similar estimates are reported for Europe 5 . The age of onset of ALS symptoms is between 40-70 years 3 with reported peaks at 47-52 years and 58-63 for familial and sporadic disease, respectively" 1 , and it is more common in men 1,3 .Amyotrophic lateral sclerosis primarily results in physical disability, but can also cause behavioural and cognitive impairment 6,7 . Depression, anxiety and sleep disorders are common 1,8 . It is a fatal disease (typically due to respiratory failure) with average survival of three to five years from the onset of symptoms based on clinic experience 1,3 .Large scale studies of persons with ALS across the continuum of care are scarce. To provide appropriate care and treatment for persons with ALS, it is necessary to have a comprehensive ABSTRACT: Objective: This study describes the socio-demographic and clinical profile of persons with amyotrophic lateral sclerosis (ALS) in home care, nursing homes and complex continuing care settings in several Canadian jurisdictions. Methods: A cross-sectional study was conducted using available Resident Assessment Instrument (RAI 2.0 and RAI Home Care) national databases from 1996-2011. The profile of ALS patients was compared with patients without pre-specified neurological conditions. Results: There were 2,092 ALS patients identified in these settings. Persons with ALS were more likely than those in the comparison group to suffer from health instability (25.4%) and minor to major depressive symptoms (27.2%) , to experience falls (44.0%) and weight loss (22.9%), to require extensive assistance in activities of daily living (54.9%), and to receive rehabilitation services: physical (23.9%), speech language pathology (8.9%), and occupational therapy 43.3%). Conclusions: The ALS population in this study are greatly affected by a number of health issues. They are more likely than the comparison group to require therapies, medical interventions, and psychotropic drug use. While persons with ALS have a poor prognosis, a great deal could be done to enhance their quality of life and the quality of care they receive.RÉSUMÉ: Profil des patients atteints de sclérose latérale amyotrophique dans l'ensemble des différentes étapes de soins. Objectif : Cette étude décrit le profile sociodémographique et clinique d'individus atteints de sclérose latérale amyotrophique (SLA) qui reçoivent des soins à domicile, en établissement de soins prolongés ou en milieu de soins continus plus complexes dans plusieurs juridictions canadiennes. Méthode : Nous avons effectué une étude transversale au moyen de l'Instrument d'évaluation des résidents (IÉR 2,0 et IÉR soins à domicile) dans des bases de données nationales de 1996 à 2011. Le profil des patients atteints de SLA a été comparé à celui de patients sans problème neurologique prédéterminé. Résultats : Nous ...

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Reliability of the interRAI suite of assessment instruments: a 12-country study of an integrated health information system

Cited by 517 publications

References 26 publications

Clinical Characteristics and Service Needs of Alternate-Level-of-Care Patients Waiting for Long-Term Care in Ontario Hospitals

Clinical Characteristics and Service Needs of Alternate-Level-of-Care Patients Waiting for Long-Term Care in Ontario Hospitals

Who Receives Rehabilitation in Canadian Long-Term Care Facilities? A Cross-Sectional Study

Profile of Patients with Amyotrophic Lateral Sclerosis Across Continuum of Care

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