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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT04683380
Other study ID # RC-P0099
Secondary ID
Status Completed
Phase
First received
Last updated
Start date March 10, 2021
Est. completion date December 10, 2021

Study information

Verified date January 2022
Source Lille Catholic University
Contact n/a
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

After emergency room visits, the elderly patients can increase their dependence and functional decline. In this context the goal of this study is to demonstrate that there are robustness predictive factors after visit to the emergency room.


Description:

The emergency department is one of the main access routes to the hospital for elderly patients. Older age is often associated with an increase risk of longer stay in the emergency room with a high subsequent risk of hospital re-admission. One of the essential care objectives when treating these patients is to maintain the autonomy to avoid any dependence in order to keep the quality of life, and limit the time of hospitalization. Emergency room visits and hospitalizations are too often considered as a source of autonomy loss aggravation in the elderly. Many studies have demonstrated the mortality predictive factors existence, functional decline, or re-hospitalization of the elderly after an emergency room visit or after hospitalization. No study until now has investigated the existence of factors directly predictive of robustness. Then the goal of this study is to demonstrate that there are robustness predictive factors after going to the emergency room.


Recruitment information / eligibility

Status Completed
Enrollment 110
Est. completion date December 10, 2021
Est. primary completion date December 10, 2021
Accepts healthy volunteers No
Gender All
Age group 75 Years and older
Eligibility Inclusion Criteria: - Patients admitted to the emergency room - Patients aged = 75 years old - Patients without cognitive disorders or vigilance disorders - Patients living at home - Patients able to give its non-opposition Non inclusion Criteria: - Patients admitted to the hospital in the last 3 months - Patients refusing to participate in the study Exclusion Criteria: - Patients whose stay is < 14h or > 48h - Patients who die during hospitalization - Patient not hospitalized - Patient not returning home after discharge from hospital

Study Design


Related Conditions & MeSH terms


Locations

Country Name City State
France Saint-Vincent Hospital Lille Haut-de-France

Sponsors (1)

Lead Sponsor Collaborator
Lille Catholic University

Country where clinical trial is conducted

France, 

Outcome

Type Measure Description Time frame Safety issue
Primary Identification of predictive factors of robustness : Autonomy level at home (ADL score) ADL self-performance coding ranges from 0 (independent) to 4 (total dependence). 3 months
Primary Identification of predictive factors of robustness by a questionnaire (help at home) Need of help at home such as : toilet, breakfast, lunch, dinner (yes or not) 3 months
Primary Identification of predictive factors of robustness by a questionnaire (family visits) Number of family visits 3 months
Primary Identification of predictive factors of robustness by a questionnaire (appetit) loss of appetite (yes or not) 3 months
Primary Identification of predictive factors of robustness (heart rate) Heart rate during hospitalization (minimum and maximum values) 3 months
Primary Identification of predictive factors of robustness (Modified Triage Risk Screening Tool (TRST)) score The TRST score is a tool to predict repeat emergency department visits and hospitalizations in older patients discharged from the emergency department; This tool evaluates 5 dimensions : cognitive disorders presence, walking disorders, polymedication, hospitalization antecedents and functional assessment (loss of autonomy). Every dimension is worth 1 point if the patient presents the disorder. The final maximum score is 5 points. 3 months
Primary Identification of predictive factors of robustness : BMI (Body Mass Index) Body mass index 3 months
Primary Albuminemia Rate of Albuminemia 3 months
Primary Identification of predictive factors of robustness : Lifestyle Lifestyle: person living alone (yes or not) 3 months
Primary Sleep assessment using a Visual Analog Scale (VAS). This scale allows patients to assess their fatigue. The patients locate their fatigue intensity on a 100-millimeters horizontal line. Using a ruler, the score is determined by measuring the distance (mm) on the 10-cm line between the "no pain" anchor and the patient's mark, providing a range of scores from 0-100. A higher score indicates greater pain intensity. 3 months
Secondary Rate of re-hospitalization Only direct re-hospitalizations in emergency rooms and geriatric short stay will be counted 3 months
Secondary Rate of patient survival Rate of patient survival 3 months
Secondary Rate of lack of Institutionalization Rate of lack of Institutionalization 3 months
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