Dementia in Nursing Home Clinical Trial
— IDEMOfficial title:
Interest of Systematic Tracking of Dementia Cases in Nursing Homes: Analysing the Contribution of MultiDisciplinary Team Meeting (MDTM) in Alzheimer's Disease and Related Diseases
| Verified date | July 2020 |
| Source | University Hospital, Toulouse |
| Contact | n/a |
| Is FDA regulated | No |
| Health authority | |
| Study type | Interventional |
Introduction: Epidemiological data show that in France only half of patients with Alzheimer
disease are currently diagnosed in the general population. The absence of early diagnosis of
dementia reduces the opportunities of patients to receive optimal care. One of the
consequences of undiagnosed dementia is inadequate use of emergency care units.
The main objective: The main aim of this study is to evaluate the impact of a systematic
case-finding procedure of dementia cases in nursing homes through a MDTM on the rate of
hospitalization in emergency care units.
Secondary objectives:
To assess the impact of systematic tracking of dementia cases on the:
- Quantity and quality of drug-prescription
- Appropriateness of hospitalizations
- Prevalence of neuropsychiatric symptoms
- Dependency
- Quality of life
- Burden of nursing staff working conditions
- Planning of specific therapeutic measures
- Overall health care costs
| Status | Completed |
| Enrollment | 1428 |
| Est. completion date | September 2013 |
| Est. primary completion date | September 2013 |
| Accepts healthy volunteers | No |
| Gender | All |
| Age group | 60 Years and older |
| Eligibility |
Inclusion Criteria: - Residents of both sex, aged 60 years or over - Residents living in a nursing home participating in the study - Residents living in the nursing home for 30 days or more - Residents without diagnosed and documented dementia, identified as follows: - residents not identified by the French Healthcare system as suffering from dementia (ALD 15) - residents not benefiting from a specific care program or a specialized follow-up for dementia - residents for whom there is no appropriate investigation for dementia diagnosis in medical records - residents not taking specific drugs for dementia (Cholinesterase inhibitors and/or Memantine) - Residents and their GP having received information about the study - Residents and their GP having expressed their agreement to participate in the study Exclusion Criteria: - Residents aged less than 60 years - Residents not living in a nursing home participating in study - Residents living in nursing home for less than 30 days - Residents with diagnosed and documented dementia, identified as follows: - residents Identified by the French Healthcare system as suffering from dementia (ALD 15) - residents benefiting from specific care programme or specialized follow-up for dementia - residents for whom there is appropriate investigation for dementia diagnosis in medical records - residents taking specific drugs for dementia (Cholinesterase inhibitors and/or Memantine) - Residents and/or their GP who received no information about the study - Residents and/or their GP having expressed their opposition to participate in the study |
| Country | Name | City | State |
|---|---|---|---|
| France | Centre de Gerontologie Pompeyrie Chu Agen | Agen | |
| France | Ehpad Maison de Retraite Louise Anceau | Albi | |
| France | Ehpad Maison de Retraite Olga Ducoudray | Albi | |
| France | Ehpad Mr "Les Jardins de Jouvence" | Albi | |
| France | Mapad La Renaudie Ch Albi | Albi | |
| France | Ehpad Les Ajoncs D'Or | Allaire | |
| France | Ehpad Maison de Retraite Hl Ax Les Thermes | Ax-les-Thermes | |
| France | Ehpad Marie Lehman | Balma | |
| France | Ehpad Kerdigemer | Brest | |
| France | Ehpad Residence Ker-Heol | Brest | |
| France | Ehpad Residence Saint Astier | Catus | |
| France | Mapa de L'Hopital Local de Caussade | Caussade | |
| France | Ehpad Maison de Retraite Ste Marthe | Ceignac | |
| France | EHPAD Résidence Castelgirou | Cepet | |
| France | Ehpad Leon Ronzier Joly | Clermont L'herault | |
| France | Ehpad Themis Lasplanes | Colomiers | |
| France | Ehpad Maison de Retraite Joseph Sauvy | ERR | |
| France | Ehpad Residence Borde Haute Promo-Accueil | Escalquens | |
| France | Mapad "Firmi" | Firmi | |
| France | Ehpad Hopital Local Fleurance | Fleurance | |
| France | Ehpad Mr Bellissen Chi Du Val D'Ariege | Foix | |
| France | Ehpad Dr Robert | Guer | |
| France | Ehpad Residence Grand'Maison | L'union | |
| France | Ehpad Residence Provencale Medicafrance | La Roquebrussanne | |
| France | Ehpad Residence Clairefontaine | Lamorlaye | |
| France | Mapad Ch Lavaur | Lavaur | |
| France | Ehpad Saint Reah Hir | Le Conquet | |
| France | Ehpad Residence D'Automne de La Ferme | Le Mee Sur Seine | |
| France | Ehpad Maison de Retraite "Les Charmilles" | Lescure d'Albigeois | |
| France | Residence Le Parc | Lezat Sur Leze | |
| France | Ehpad La Cheneraie | Lherm | |
| France | Ehpad Mr Lagrange | Lisle Sur Tarn | |
| France | Mapad Labastide Ch Lourdes | Lourdes | |
| France | Ehpad Emile Dubois | Marchiennes | |
| France | Ehpad Les Mille Soleils | Marciac | |
| France | Ehpad Et. Public Gerontologie de Marines | Marines | |
| France | AP-HM Hôptal La Timone Service de Pédiatrie Mutidisciplinaire | Marseille | |
| France | Ehpad Maison Retraite Hl Mauvezin | Mauvezin | |
| France | Ehpad Maison de Retraite Saint Joseph | Mazamet | |
| France | Ehpad Maison de Retraite Privee de Mazeres | Mazeres | |
| France | Ehpad L'Ecrin Des Sages | Mèze | |
| France | Ehpad-Maison Retraite Hl Mirande | Mirande | |
| France | Ehpad Chis Castelsarrasin-Moissac | Moissac | |
| France | Ehpad Maison Retraite Ch Montauban | Montauban | |
| France | Ehpad Era Caso | Montauban de Luchon | |
| France | Ehpad Ma Maison | Montpellier | |
| France | Ehpad Maison de Retraite Sainte Agnes | Montredon Labessonnie | |
| France | Ehpad L'Acacia | Nailloux | |
| France | Logements Foyer La Fontanelle | Naucelle | |
| France | Ehpad Fondation Pauliani | Nice | |
| France | Ehpad Les Noisetiers | Nice | |
| France | Ehpad Residence Ancilla | Nice | |
| France | Ehpad Mais de Retraite Saint-Joseph | Ossun | |
| France | Ehpad Mr Bariol Chi Du Val D'Ariege | Pamiers | |
| France | Ehpad Residence Le Parc | Panazol | |
| France | AP-HP Hôpital Necker Enfants Malades Service d'endocrinologie pédiatrique - 149 route de Sèvres | Paris | |
| France | Ehpad Furtado Heine | Paris | |
| France | Ehpad Julie Siegfried | Paris | |
| France | Ehpad La Pirandelle | Paris | |
| France | Ehpad Residence Anselme | Paris | |
| France | Ehpad Residence Belleville | Paris | |
| France | Ehpad Residence Herold | Paris | |
| France | Ehpad Residence Oceane | Paris | |
| France | Ehpad Tiers Temps Paris | Paris | |
| France | Ehpad Residence Adeline | Pierre Buffiere | |
| France | Ehpad Residence D'Automne Medica-France | Reims | |
| France | Ehpad L'Oree Du Bois | Rieux Volvestre | |
| France | Ehpad Residence Saint-Amans | Rodez | |
| France | Ehpad Le Jardin Des Loges | Saint Bonnet | |
| France | Ehpad Residence Themis La Joie de Vivre | Saint Lys | |
| France | Ehpad A Labouilhe | Saint Orens de Gameville | |
| France | Ehpad Public de Saint-Remy de Provence | Saint Remy de Provence | |
| France | Ehpad Les Bruyeres | Sousceyrac | |
| France | Ehpad Maison Retraite Orelia Ch St Gaudens | St Gaudens | |
| France | Ehpad Genevriers | St Martory | |
| France | Ehpad Maison de Retraite Chic Tarbes Vic | Tarbes | |
| France | Ehpad Residence "Le Doyenne Du Carmel" | Tarbes | |
| France | Ehpad Sainte Anne | Tinteniac | |
| France | Ehpad de La Cote Pavee | Toulouse | |
| France | Ehpad Gaubert | Toulouse | |
| France | Ehpad Mr Henri Iv | Toulouse | |
| France | Ehpad Pierre Ducis | Toulouse | |
| France | Ehpad Residence La Cotonniere | Toulouse | |
| France | Ehpad Residence Le Clos Des Carmes | Toulouse | |
| France | Ehpad Residence Marguerite | Toulouse | |
| France | Ehpad Residence Saint-Simon | Toulouse | |
| France | Usld Domaine de La Cadene | Toulouse | |
| France | Ehpad Umt | Valence-d'albigeois | |
| France | Ehpad Maisonneuve | Villefranche de Lauragais | |
| France | Ehpad Saint-Jacques | Villemur Sur Tarn |
| Lead Sponsor | Collaborator |
|---|---|
| University Hospital, Toulouse |
France,
Rolland Y, Tavassoli N, de Souto Barreto P, Perrin A, Laffon de Mazières C, Rapp T, Hermabessière S, Tournay E, Vellas B, Andrieu S. Systematic Dementia Screening by Multidisciplinary Team Meetings in Nursing Homes for Reducing Emergency Department Transf — View Citation
| Type | Measure | Description | Time frame | Safety issue |
|---|---|---|---|---|
| Primary | Incidence of hospitalizations in emergency care units | Monthly collection during follow-up (18 months) | 18 months | |
| Secondary | Prevalence of antipsychotic prescription | Baseline visit, 4 months, 18 months | ||
| Secondary | Incidence of inappropriate hospitalizations | Monthly collection during follow-up (18 months) | 18 months | |
| Secondary | Prevalence of neuropsychiatric symptoms evaluated by NPI-nursing staff version | Baseline visit, 18 months | ||
| Secondary | Dependency evaluated by AGGIR and IADL-4 items | Baseline visit, 18 months | ||
| Secondary | Quality of life evaluated by QOL-AD | Baseline visit, 18 months | ||
| Secondary | Number of nursing staff's time off work | Monthly collection during follow-up (18 months) | 18 months | |
| Secondary | Number of days off work by nursing staff | Monthly collection during follow-up (18 months) | 18 months | |
| Secondary | Presence of advanced care planning in patients medical records | Advanced care planning will be checked through behavioural disosders, transfer to hospital intensive care and resuscitation | Baseline visit, 18 months | |
| Secondary | Overall healthcare costs | Monthly collection during follow-up (18 months) | 18 months |