Provision of a Mobile Geriatric Team Extra-Community Hospital

Geriatric Disorder Clinical Trial

— UMG  

Official title:

Provision of a Mobile Geriatric Team Extra-Community Hospital in Assessing and Regulating the Hospitalization of Frail Elderly Patients With Complex Medical and Social Situation

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01449968
• Other study ID #: DCIC 10 16
• Status: Completed
• Phase: N/A
• First received: July 7, 2011
• Last updated: April 25, 2014
• Start date: June 2011
• Est. completion date: November 2013

Study information

• Verified date: April 2014
• Source: University Hospital, Grenoble
• Contact: n/a
• Is FDA regulated: No
• Health authority: France : Comité d'Ethique des Centres d'Investigation Clinique de l'inter-région Rhône-Alpes-Auvergne N°IRB 5891
• Study type: Observational

Clinical Trial Summary

The purpose of this study is to demonstrate the effectiveness of the mobile unit to reduce the geriatric hospital inappropriate (especially for emergencies) to 1 month.

The primary endpoint: survival without hospitalization through the emergency inappropriate to 1 month.

Description:

The purpose of this study is to assess the effectiveness of the Mobile Geriatrics on the management of complex situations in retirement homes and in ambulatory care of frail elderly patients, reported by the generalist doctor, in terms of improving the conditions of use technical support hospital follow-up recommendations given by the mobile team and their impact on outcomes of care.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 334
• Est. completion date: November 2013
• Est. primary completion date: May 2013
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 75 Years and older

Eligibility

Inclusion Criteria:

• Patient aged 75 and over living in complex medical or psycho-social complex or at risk of hospitalization

• Patient affiliated to social security or beneficiary of such a regime

• Patient available for follow-up to 6 months with a caregiver or accompanying social duly appointed.

Exclusion Criteria:

• Patient residing outside intervention sector

• Life-threatening emergency (ambulance)

• Lack of complexity of the situation, supported by routine care

Study Design

Observational Model: Cohort, Time Perspective: Prospective

Related Conditions & MeSH terms

• Geriatric Disorder
• Mobil Unit

Intervention

Other:
• home visit
home visit of UMG
• telephone management
telephone management of the situation reported by the patient's GP

Locations

Country	Name	City	State
France	CH Annecy	Annecy
France	University Hospital of Grenoble	Grenoble
France	CH Roanne	Roanne

Sponsors (1)

Lead Sponsor	Collaborator
University Hospital, Grenoble

Country where clinical trial is conducted

France, 

References & Publications (3)

Bernabei R, Landi F, Gambassi G, Sgadari A, Zuccala G, Mor V, Rubenstein LZ, Carbonin P. Randomised trial of impact of model of integrated care and case management for older people living in the community. BMJ. 1998 May 2;316(7141):1348-51. — View Citation

Elkan R, Kendrick D, Dewey M, Hewitt M, Robinson J, Blair M, Williams D, Brummell K. Effectiveness of home based support for older people: systematic review and meta-analysis. BMJ. 2001 Sep 29;323(7315):719-25. Review. — View Citation

Stuck AE, Siu AL, Wieland GD, Adams J, Rubenstein LZ. Comprehensive geriatric assessment: a meta-analysis of controlled trials. Lancet. 1993 Oct 23;342(8878):1032-6. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	effectiveness of the visit of the mobile unit to reduce the geriatric hospital inappropriate (especially for emergencies) to 1 month	inappropriate survival without hospitalization through the emergency room at 1 month	1 month	No
Secondary	follow-up rate of the proposals of UMG ext (adherence to recommendations and feasibility) and analyze the reasons for not monitoring these proposals one month	follow-up of recommendations made by the mobile unit of Geriatrics	1 month	No
Secondary	survival without hospitalization inappropriate, mortality, changes in functional status and cognitive health care consumption up to 6 months of surgery	Unplanned hospitalization rates obtained by telephone follow-up at 3 and 6 months	6 months	No
Secondary	effectiveness of the visit of the mobile geriatric home versus telephone follow-up of mobile geriatric unit	Analysis of sub-groups	6 months	No
Secondary	needs and difficulties of attending physicians in the care of frail elderly patients with complex medical and social situation before and after the establishment of mobile units for geriatrics.	Questionnaire to GPs in the health sector concerned	1 year	No
Secondary	cost effectiveness of two types of visit of the mobile unit of Geriatrics (telephone regulation and control over travel home phone)	Cost of hospitalization.	6 months	No