Characteristics of Patients With Dementia Who Are Screaming in Nursing Homes

Dementia Clinical Trial

Official title:

Characteristics of Patients With Disruptive Vocalizations Residing in Nursing Homes Supported by the Mobile Gerontopsychiatry Team : Retrospective Study

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04760015
• Other study ID #: RECHMPL21_0089
• Status: Completed
• Start date: February 1, 2021
• Est. completion date: September 1, 2021

Study information

• Verified date: November 2021
• Source: University Hospital, Montpellier
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

Patients with dementia develop behavioral problems over time. Among these, the investigators object screams or cries or disruptives vocalizations. Their cause is multifactorial and their management difficult in nursing homes. Often this patients are polymedicated, sedated or/and isolated.

Many scientific studies are interested in drug and non-drug treatments. In this study, the investigators are looking for a profile for disruptives vocalizations's patients. Thus, the investigators will study the global profile of demented patients residing in EHPAD to determine if there are any similarities between them.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 60
• Est. completion date: September 1, 2021
• Est. primary completion date: August 1, 2021
• Accepts healthy volunteers: No
• Gender: All
• Age group: 75 Years and older

Eligibility

Inclusion criteria:

• aged 75 years old and more

• living in nursing homes

• dementia

• agitation and disruptives vocalizations

• twice and more interventions by the Mobile Gerontopsychiatry Team

Exclusion criteria:

• no follow-up after team intervention

Related Conditions & MeSH terms

• Dementia

Locations

Country	Name	City	State
France	Uhmontpellier	Montpellier

Sponsors (1)

Lead Sponsor	Collaborator
University Hospital, Montpellier

Country where clinical trial is conducted

France, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Describe the profile of demented patients	Describe the profile of demented patients with disruptives vocalizations in EHPAD aged 75 and over, for whom an intervention of the Mobile Gerontopsychiatry Team (MGT) is requested.; Determining the profile of the screaming residents in nursing home : age, sex, type of dementia, severity of dementia (MMSE score), co-morbidities, current treatments, sensory impairments, autonomy, environment (visits, outside workers, activities in the EHPAD, paramedical interventions, …), NPI-ES, psychological state (GDS).	2 years
Secondary	Efficiency of MGT's intervention on screams	Evaluate the effectiveness of the MGT's intervention on cries (increase, decrease, stop, lack of effectiveness).	2 years
Secondary	Determination of predictive factors for MGT's effectiveness.	Determine what are the predictive factors of the effectiveness of the intervention of the MGT (time to call after onset of cries, characteristics of the patient and characteristics of the institution).	2 years
Secondary	Determination if the delay between the symptom's beginning and intervention can influence their effectiveness.	Determine if the delay between the onset of screaming and the intervention of the MGT has an impact on the patient's mortality.	2 years
Secondary	Determination if disruptives vocalizations could be a dementia premorbid symptom.	Determine whether screaming is a pre-morbid clinical sign by studying the time interval between the onset of screaming and the patient's death.	2 years