Descriptive Study of Emergency Room Visits From Nursing Home Residents for Behavioral Problems at the Nancy University Hospital: Place of the Advanced Practice Nurse

Behavioral Disorders Clinical Trial

Official title:

Descriptive Study of Emergency Room Visits From Nursing Home Residents for Behavioral Problems at the Nancy University Hospital: Place of the Advanced Practice Nurse

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04846608
• Other study ID #: 2021PI027
• Status: Completed
• Start date: April 14, 2021
• Est. completion date: June 30, 2021

Study information

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

Clinical Trial Summary

The demographic evolution of old age is a reality. After the age of 75, 2 out of 3 people living in institutions have neurocognitive disorders. Behavioural disorders such as physical aggression, agitation, hallucinations, sleep disorders, generate difficulties in the management of these patients and lead to unscheduled emergency hospitalizations. Non-pharmacological management of behavioral disorders is recommended as a first-line treatment because of its low risk and potential improvement (Haute Autorité de Santé 2009). However, this management is not simple and obvious to put in place, especially since not all elderly people with Behavioural disorders are in adapted structures. The advanced practice nurse specializing in geriatrics has a place in this care pathway. Because of her skills, she could "organize multi-professional care, set up analyses of practices within the nursing homes, train caregivers appropriately, and limit hospitalizations due to behavioral problems" (SALIEGE L. 2020). Advanced practice nursing is in its infancy in France, and everything remains to be done (International Council of Nurses- directive). The aim of the study is to identify the number of emergency room visits by people aged 75 and over for behavioral problems in nursing home during a 6 month-period.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 4000
• Est. completion date: June 30, 2021
• Est. primary completion date: June 30, 2021
• Accepts healthy volunteers: No
• Gender: All
• Age group: 75 Years and older

Eligibility

Inclusion Criteria:

• Person who has received full information on the organization of the research and has not objected to the use of this data
• Elderly men and women 75 years of age and older at the time of the emergency room visit
• Having for main residence one of the nursing homes of the Grand Nancy
• Administratively present in the emergency department
• Having been admitted to the emergency room for the following reasons:
• Behavioural problems
• Agitation
• Dementia
• Disorientation
• Delirium

Exclusion Criteria:

• People under 75 years of age
• Residing at home or in a senior residence or in a nursing home outside Grand Nancy
• Referred by an inpatient department (rehabilitation department)
• Other reasons for emergency room use such as "depression" and "apathy

Related Conditions & MeSH terms

• Behavioral Disorders
• Emergencies
• Problem Behavior

Intervention

Other:
• Observation
Observation

Locations

Country	Name	City	State
France	CHRU de NANCY	Nancy

Sponsors (3)

Lead Sponsor	Collaborator
Central Hospital, Nancy, France	Mahmut GUNDESLI MD, Marie MANGEOT- Nurse

Country where clinical trial is conducted

France, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Number of passage of people aged 75 and over referred to emergency departments by nursing homes for disorientation, agitation, dementia or behavioural problems during the study period	Number of passage of people aged 75 and over referred to emergency departments by nursing homes for disorientation, agitation, dementia or behavioural problems during the study period	through study completion, an average of 6 months
Secondary	Age of the patients		through study completion, an average of 6 months
Secondary	Gender of the patients		through study completion, an average of 6 months
Secondary	Presence of previous medical cognitive disorder		through study completion, an average of 6 months
Secondary	Name of nursing home of origin		through study completion, an average of 6 months
Secondary	Length of stay at emergency room		through study completion, an average of 6 months
Secondary	Referral after visit at emergency room		through study completion, an average of 6 months
Secondary	Number of iterative passage of people aged 75 and over referred to emergency departments by nursing homes for disorientation, agitation, dementia or behavioural problems during the study period		through study completion, an average of 6 months
Secondary	Presence of intervention of geriatric mobile team		through study completion, an average of 6 months