Fall Patients Clinical Trial
— OREGoNOfficial title:
Analyse de la Prise en Charge et de l'Orientation Des Patients de 75 Ans et Plus Consultant Pour Chute Aux Urgences du CHU Angers : données de l'évaluation Initiale et du Recueil de données effectué un an après Leur Passage Aux Urgences
Verified date | January 2018 |
Source | University Hospital, Angers |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Observational |
The fall is a complex process associated with high morbidity and mortality, with an
institutionalization rate of up to 40% and a major socio-economic impact.
The prevalence of falls increases with age. In fact, it is estimated that one-third of people
over 65 and 50% of those over 80 living at home fall at least once a year, half of whom fall
repeatedly.
For all these reasons, the fall is a frequent reason for emergency consultation, and is an
integral part of geriatric syndromes at risk of early readmission.
The care of the elderly patient has been the subject of good practice recommendations by the
Health Authority (HAS) in 2009, with the aim of referring patients to specialized geriatric
care. Among these recommendations is the need to look for signs of geriatric severity of
falls.
To our knowledge, few studies have investigated the applicability of HAS recommendations with
the practice of emergencies; this study is part of a project to improve practices.
- Hypothesis : Due to the fast pace of emergency medicine, the complexity of elderly patients
and the inherent limitations of the care system, we hypothesize that few serious fallers are
included in the geriatric pathway after admission to the emergency room (ER).
Status | Completed |
Enrollment | 204 |
Est. completion date | December 1, 2017 |
Est. primary completion date | December 1, 2017 |
Accepts healthy volunteers | |
Gender | All |
Age group | 75 Years and older |
Eligibility |
Inclusion Criteria: - Age = 75 years - Reason for emergency consultation: fall or a related cause (fracture, head trauma, etc.) Exclusion Criteria: - No one |
Country | Name | City | State |
---|---|---|---|
France | Angers University Hospital | Angers |
Lead Sponsor | Collaborator |
---|---|
University Hospital, Angers |
France,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Measure of the proportion of serious fallers included in the geriatric pathway one year after passing the emergencies. | This outcome is assessed by the number of serious faller patients in the geriatric pathway. | 1 year | |
Secondary | Measure of proportion of fallers admitted to emergencies. | This outcome is assessed by the number of fallers admitted to emergencies. | baseline | |
Secondary | Measure of proportion of serious fallers admitted to emergencies. | This outcome is assessed by the number of serious fallers admitted to emergencies. | baseline | |
Secondary | Number of severity criteria most commonly encountered in emergencies. | This outcome is assessed by the emergencies data. | baseline | |
Secondary | Measure of the proportion of patients who fell again within one year of admission to ER. | This outcome is assessed by the number of patients who fell again within one year of admission to ER. | 1 year | |
Secondary | Measure of the proportion of patients included in the geriatric pathway readmitted for fall to the ER in the following year. | This outcome is assessed by the number of patients included in the geriatric pathway readmitted for fall to the ER. | 1 year |
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