Elderly Clinical Trial
Official title:
A Descriptive Multicenter Investigation of Geriatrics Hotlines : Description of the Health Care Pathways and Conditions of Subjects Aged 75 and Over
Verified date | July 2020 |
Source | Support and Education Technic Centre |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Observational [Patient Registry] |
In France, for general practitioners, the Emergency Hospitality Services (UAS) are the
fastest and usual way to respond to the complexity of managing elderly polypathological
patients. In 2013, the Regional Health Agencies proposed the creation of direct telephone
assistance managed by geriatric doctors (geriatric hotlines) to promote interactions city -
hospital. The aim of these hotlines is to improve the care pathways and health status of
seniors. The objective of this study is to describe the care trajectories and health status
of subjects over 75 years of age hospitalized in a short-term geriatric stay on the guidance
of a Geriatric Hotline.
The study will take place over 24 months and in 7 French University Hospitallers Centres. The
study will include all patients aged 75 and over, living at home or in an institution, who
are hospitalized in a short-term geriatric ward on the guidance of a Hotline.
The results will show whether a management by the geriatric hotline is the most suitable for
seniors, with an average length of stay probably shorter.
Status | Completed |
Enrollment | 2000 |
Est. completion date | April 30, 2020 |
Est. primary completion date | March 30, 2020 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 75 Years and older |
Eligibility |
Inclusion Criteria: - Age over 75 - Male/Female - Living at home or in an institution (independent residence included) - Being hospitalized in a short geriatric stay Exclusion Criteria: - Patients under 75 years - Refusal to participate in study |
Country | Name | City | State |
---|---|---|---|
France | CHU Saint-Etienne | Saint-Étienne |
Lead Sponsor | Collaborator |
---|---|
Support and Education Technic Centre | Loire department, National School for Social Security |
France,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | the mean duration of hospitalization in short-stay geriatric care | the mean duration of hospitalization in short-stay geriatric care | through study completion, an average of 2 years | |
Secondary | Assessment of health status using the Charlson comorbidity index for elderly patients hospitalized in short-stay geriatric wards | By questionnaire : Charlson's index calculation using patient history for assessing the comorbidities of our geriatric population. The Charlson comorbidity index : a method of predicting mortality by classifying or weighting comorbid conditions. The Charlson comorbidity index predicts the one-year mortality for a patient who may have a range of comorbid conditions, such as heart disease, AIDS, or cancer (a total of 22 conditions). Each condition is assigned a score of 1, 2, 3, or 6, depending on the risk of dying associated with each one. Scores are summed to provide a total score to predict mortality The minimum score is 0 and the maximum score is 27. The value 0 is the best possible result. With a charlson score of 3 or higher, there is a risk of an adverse change in the patient's state of health. Score = 0 => 12% of 1 year mortality Score of 1 to 2 => 26% of 1 year mortality Score of 3 to 4 => 52% of 1 year mortality Score of 5 or more => 85% of 1 year mortality |
through study completion, an average of 2 years | |
Secondary | Describing and comparing how the different hotlines across France function | By questionnaire for all hotlines : N° residents, total number of hospital beds, short-stay geriatric care Yes/No, post-discharge care Yes/No, long-term rehabilitation care Yes/No, consultation Yes/No, Outpatient clinic Yes/No, Ambulance care Yes/No, telemedical consultation Yes/No. | through study completion, an average of 2 years |
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