NCT01449968

Brief 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.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
334

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Jun 2011

Typical duration for all trials

Geographic Reach
1 country

3 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

June 1, 2011

Completed
1 month until next milestone

First Submitted

Initial submission to the registry

July 7, 2011

Completed
3 months until next milestone

First Posted

Study publicly available on registry

October 10, 2011

Completed
1.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2013

Completed
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

November 1, 2013

Completed
Last Updated

April 28, 2014

Status Verified

April 1, 2014

Enrollment Period

1.9 years

First QC Date

July 7, 2011

Last Update Submit

April 25, 2014

Conditions

Geriatric DisorderMobil Unit

Outcome Measures

Primary Outcomes (1)

  • 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

Secondary Outcomes (5)

  • 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

    1 month

  • survival without hospitalization inappropriate, mortality, changes in functional status and cognitive health care consumption up to 6 months of surgery

    6 months

  • effectiveness of the visit of the mobile geriatric home versus telephone follow-up of mobile geriatric unit

    6 months

  • 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.

    1 year

  • cost effectiveness of two types of visit of the mobile unit of Geriatrics (telephone regulation and control over travel home phone)

    6 months

Study Arms (2)

home visit of UMG

home visit with evaluation and management of the situation (control over in-home telephone)

Other: home visit

telephone management

geriatric mobile unit provides a telephone advice only to the general practitioner with guidance and recommendations (call control)

Other: telephone management

Interventions

home visitOTHER

home visit of UMG

home visit of UMG
telephone managementOTHER

telephone management of the situation reported by the patient's GP

Also known as: telephone management of the mobile unit of Geriatrics
telephone management

Eligibility Criteria

Age75 Years+
Sexall
Healthy VolunteersNo
Age GroupsOlder Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

The study population includes patients over 75 years in medical condition or psycho-social complex, followed by a general practitioner to population centers include: Grenoble, Annecy and Roanne.

You may qualify if:

  • 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.

You may not qualify if:

  • Patient residing outside intervention sector
  • Life-threatening emergency (ambulance)
  • Lack of complexity of the situation, supported by routine care

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (3)

CH Annecy

Annecy, 74000, France

Location

University Hospital of Grenoble

Grenoble, 38000, France

Location

CH Roanne

Roanne, 42300, France

Location

Related 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. doi: 10.1136/bmj.316.7141.1348.

    PMID: 9563983BACKGROUND

  • 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. doi: 10.1016/0140-6736(93)92884-v.

    PMID: 8105269BACKGROUND

  • 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. doi: 10.1136/bmj.323.7315.719.

    PMID: 11576978BACKGROUND

MeSH Terms

Interventions

House Calls

Intervention Hierarchy (Ancestors)

Professional PracticeOrganization and AdministrationHealth Services Administration

Study Officials

  • Pascal COUTURIER, PUPH

    Geriatric unit - University Hospital of Grenoble

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Pr Pascal COUTURIER, University Hospital, Grenoble

Study Record Dates

First Submitted

July 7, 2011

First Posted

October 10, 2011

Study Start

June 1, 2011

Primary Completion

May 1, 2013

Study Completion

November 1, 2013

Last Updated

April 28, 2014

Record last verified: 2014-04

Locations

FR(3)