Robustness Predictive Factors in People Aged Over 75 Years After Going to the Emergency Room (ROB-U)

Aging Clinical Trial

— ROB-U  

Official title:

Study of the Robustness Predictive Factors in People Aged Over 75 Years After Going to the Emergency Room

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04683380
• Other study ID #: RC-P0099
• Status: Completed
• Start date: March 10, 2021
• Est. completion date: December 10, 2021

Study information

• Verified date: January 2022
• Source: Lille Catholic University
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

After emergency room visits, the elderly patients can increase their dependence and functional decline. In this context the goal of this study is to demonstrate that there are robustness predictive factors after visit to the emergency room.

Description:

The emergency department is one of the main access routes to the hospital for elderly patients.

Older age is often associated with an increase risk of longer stay in the emergency room with a high subsequent risk of hospital re-admission. One of the essential care objectives when treating these patients is to maintain the autonomy to avoid any dependence in order to keep the quality of life, and limit the time of hospitalization.

Emergency room visits and hospitalizations are too often considered as a source of autonomy loss aggravation in the elderly. Many studies have demonstrated the mortality predictive factors existence, functional decline, or re-hospitalization of the elderly after an emergency room visit or after hospitalization.

No study until now has investigated the existence of factors directly predictive of robustness. Then the goal of this study is to demonstrate that there are robustness predictive factors after going to the emergency room.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 110
• Est. completion date: December 10, 2021
• Est. primary completion date: December 10, 2021
• Accepts healthy volunteers: No
• Gender: All
• Age group: 75 Years and older

Eligibility

Inclusion Criteria:

• Patients admitted to the emergency room

• Patients aged = 75 years old

• Patients without cognitive disorders or vigilance disorders

• Patients living at home

• Patients able to give its non-opposition

Non inclusion Criteria:

• Patients admitted to the hospital in the last 3 months

• Patients refusing to participate in the study

Exclusion Criteria:

• Patients whose stay is < 14h or > 48h

• Patients who die during hospitalization

• Patient not hospitalized

• Patient not returning home after discharge from hospital

Related Conditions & MeSH terms

• Aging
• Emergencies
• Emergency Room
• Risk Factors

Locations

Country	Name	City	State
France	Saint-Vincent Hospital	Lille	Haut-de-France

Sponsors (1)

Lead Sponsor	Collaborator
Lille Catholic University

Country where clinical trial is conducted

France, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Identification of predictive factors of robustness : Autonomy level at home (ADL score)	ADL self-performance coding ranges from 0 (independent) to 4 (total dependence).	3 months
Primary	Identification of predictive factors of robustness by a questionnaire (help at home)	Need of help at home such as : toilet, breakfast, lunch, dinner (yes or not)	3 months
Primary	Identification of predictive factors of robustness by a questionnaire (family visits)	Number of family visits	3 months
Primary	Identification of predictive factors of robustness by a questionnaire (appetit)	loss of appetite (yes or not)	3 months
Primary	Identification of predictive factors of robustness (heart rate)	Heart rate during hospitalization (minimum and maximum values)	3 months
Primary	Identification of predictive factors of robustness (Modified Triage Risk Screening Tool (TRST)) score	The TRST score is a tool to predict repeat emergency department visits and hospitalizations in older patients discharged from the emergency department; This tool evaluates 5 dimensions : cognitive disorders presence, walking disorders, polymedication, hospitalization antecedents and functional assessment (loss of autonomy). Every dimension is worth 1 point if the patient presents the disorder. The final maximum score is 5 points.	3 months
Primary	Identification of predictive factors of robustness : BMI (Body Mass Index)	Body mass index	3 months
Primary	Albuminemia	Rate of Albuminemia	3 months
Primary	Identification of predictive factors of robustness : Lifestyle	Lifestyle: person living alone (yes or not)	3 months
Primary	Sleep assessment using a Visual Analog Scale (VAS).	This scale allows patients to assess their fatigue. The patients locate their fatigue intensity on a 100-millimeters horizontal line. Using a ruler, the score is determined by measuring the distance (mm) on the 10-cm line between the "no pain" anchor and the patient's mark, providing a range of scores from 0-100. A higher score indicates greater pain intensity.	3 months
Secondary	Rate of re-hospitalization	Only direct re-hospitalizations in emergency rooms and geriatric short stay will be counted	3 months
Secondary	Rate of patient survival	Rate of patient survival	3 months
Secondary	Rate of lack of Institutionalization	Rate of lack of Institutionalization	3 months