Physiotherapist in the Emergency Department

Emergencies Clinical Trial

— KiUrge  

Official title:

Physiotherapist in the Emergency Department : What Impact Does the Intervention of the Physiotherapist Have on the Care Pathway of the Elderly Person Who Falls?

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05753319
• Other study ID #: RC23_0068
• Status: Completed
• Start date: April 6, 2023
• Est. completion date: March 14, 2024

Study information

• Verified date: May 2024
• Source: Nantes University Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

This study aims to evaluate the impact of assessment and early physiotherapy management on the care pathway of the elderly person who falls, their length of stay in hospital and their fall recurrence rate.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 155
• Est. completion date: March 14, 2024
• Est. primary completion date: March 14, 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: 75 Years and older

Eligibility

Inclusion Criteria:

1. Patients aged 75 and over

2. Patients admitted to emergency for falls.

3. Clinically stable patient who may benefit from a gait assessment or fall risk assessment

4. Patients able to understand the protocol and not verbally object to participation.

Exclusion Criteria:

1. Patients with limb fractures requiring surgical treatment

2. Patients under guardianship or curatorship.

3. Patients already included in an interventional research protocol.

Related Conditions & MeSH terms

• Emergencies
• Fall

Intervention

Other:
• Physiotherapy in the emergency department after a fall
Realization of a physiotherapy assessment.

Locations

Country	Name	City	State
France	University Hospital of Nantes	Nantes	Loire-Atlantique

Sponsors (2)

Lead Sponsor	Collaborator
Nantes University Hospital	Laboratoire Motricité, Interactions, Performance (UR 4334) of Nantes University

Country where clinical trial is conducted

France, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Patient orientation (return home, short-term hospitalization unit, hospitalization) at discharge from the emergency department	The orientation of the patient on discharge from the emergency services, according to the three defined pathways (return home, short-term hospitalization unit, hospitalization).	up to 48 hours
Secondary	Length of stay in emergency departments and in the short stay hospital unit	Calculation of the duration in hours by recording the dates and times of admission and discharge from the service.	up to 48 hours
Secondary	Total duration of hospitalization for each stay, all services combined	Calculation of the duration in hours by recording the dates and times of admission to the emergency services and final discharge from the hospital.	1 week
Secondary	Number of recurrence of emergency admission for the same reason (fall)	Recurrence of a fall within seven days of returning home	up to 9 days
Secondary	Satisfaction of doctors in emergency services	A satisfaction questionnaire will be sent to all doctors who participated in the study	0 day
Secondary	Emergency discharge referral before and after assessment by the physical therapist.	For the "Physiotherapy group" : Description of changes in physician orientation decision (return home, acute care unit, hospitalization) of patients, before/after the physical therapist assessment	up to 48 hours