Impact of a Dedicated Geriatric Sector on the Loss of Functional Autonomy at 1 Month for Patients Admitted to Emergencies and Non-hospitalised

Emergency Service, Hospital Clinical Trial

— URG-GERIA  

Official title:

Impact of a Dedicated Geriatric Sector on the Loss of Functional Autonomy at 1 Month for Patients Admitted to Emergencies and Non-hospitalised

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04970784
• Other study ID #: 69HCL19_0973
• Secondary ID: 2020-A00211-38
• Status: Completed
• Start date: June 15, 2020
• Est. completion date: October 21, 2020

Study information

• Verified date: July 2021
• Source: Hospices Civils de Lyon
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

Several studies have shown that going to the emergency room is a risk factor for loss of independence in the elderly. It has been shown that the period following an emergency room visit without hospitalization is a period of vulnerability for the elderly.

The functional decline, or loss of functional autonomy, of the elderly is associated with an increase in institutionalization, mortality and costs to society.

Studies have highlighted the risk factors for functional decline in the elderly, such as pre-existing functional and cognitive decline, undernutrition, but no model of care has yet prevented the risk of loss of autonomy after a stay in the emergency room.

A full and early geriatric assessment could prevent functional decline after the emergency room visit.

The primary objective of the study is to assess the impact of a dedicated geriatric sector on the functional decline at 1 month of patients admitted to emergencies without hospitalization by comparing an intervention group (patient having benefited from the geriatric sector) and a group witness ("classic" emergency patient).

The secondary objective is to evaluate the impact of this sector on the number of falls at home as well as the readmission rate within 1 month of going to the emergency room.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 285
• Est. completion date: October 21, 2020
• Est. primary completion date: October 21, 2020
• Accepts healthy volunteers: No
• Gender: All
• Age group: 75 Years and older

Eligibility

Inclusion Criteria:

• Age greater than or equal to 75 years

• Emergency room consultation between 7:30 a.m. and 5:30 p.m.

• Relevant to the adult emergency department

• Return home after consultation

Exclusion Criteria:

• Age less than 75 years

• Arrival time between 5.30 p.m. and 7.30 a.m.

• Need to take care of unhooking

• Belonging to the short sector, versatile sector

• Patients hospitalized after consultation

Related Conditions & MeSH terms

• Ambulatory Care
• Emergencies
• Emergency Service, Hospital
• Health Services for the Aged

Intervention

Other:
• Activities of Daily Living (ADL) questionnaire (The Katz index )
For patients cared for by the geriatric sector, questionnaire will be filled in at admission D0 and by phone at D30, for the "classic" emergency patients questionnaire will be submitted by phone the day following the consultation D1, and D30.

Locations

Country	Name	City	State
France	Centre Hospitalier Alpes Léman, service des urgences	Contamine-sur-Arve

Sponsors (1)

Lead Sponsor	Collaborator
Hospices Civils de Lyon

Country where clinical trial is conducted

France, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change of functional decline at 1 month, measured by the Katz index, Activities of Daily Living (ADL)	The Katz index, Activities of Daily Living (ADL) questionnaire, assess through 6 items (ranging from 0 to 1) the aptitude to execute daily life activities.	At Baseline (admission to ermergencies) and 1 month