Dementia in Nursing Home Clinical Trial
Official title:
Interest of Systematic Tracking of Dementia Cases in Nursing Homes: Analysing the Contribution of MultiDisciplinary Team Meeting (MDTM) in Alzheimer's Disease and Related Diseases
Introduction: Epidemiological data show that in France only half of patients with Alzheimer
disease are currently diagnosed in the general population. The absence of early diagnosis of
dementia reduces the opportunities of patients to receive optimal care. One of the
consequences of undiagnosed dementia is inadequate use of emergency care units.
The main objective: The main aim of this study is to evaluate the impact of a systematic
case-finding procedure of dementia cases in nursing homes through a MDTM on the rate of
hospitalization in emergency care units.
Secondary objectives:
To assess the impact of systematic tracking of dementia cases on the:
- Quantity and quality of drug-prescription
- Appropriateness of hospitalizations
- Prevalence of neuropsychiatric symptoms
- Dependency
- Quality of life
- Burden of nursing staff working conditions
- Planning of specific therapeutic measures
- Overall health care costs
This is a multicentre, cluster randomized study comparing two parallel groups:
- Intervention group: nursing homes whose residents benefit from MDTM to identify the
cases of dementia and to propose an adequate care project
- Control group: nursing homes whose residents continue to benefit from usual care In each
group, 1000 elderly subjects aged over 60 years without documented diagnosis of dementia
will be included and monitored for a period of 18 months.
Information about the main and secondary aims will be collected monthly through online
questionnaires.
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