Impact of Systematic Tracking of Dementia Cases on the Rate of Hospitalization in Emergency Care Units
IDEM
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
2 other identifiers
interventional
1,428
1 country
90
Brief Summary
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
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started May 2010
Longer than P75 for not_applicable
90 active sites
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
May 1, 2010
CompletedFirst Submitted
Initial submission to the registry
July 4, 2011
CompletedFirst Posted
Study publicly available on registry
April 4, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2013
CompletedJuly 29, 2020
July 1, 2020
3.3 years
July 4, 2011
July 28, 2020
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Incidence of hospitalizations in emergency care units
Monthly collection during follow-up (18 months)
18 months
Secondary Outcomes (9)
Prevalence of antipsychotic prescription
Baseline visit, 4 months, 18 months
Incidence of inappropriate hospitalizations
18 months
Prevalence of neuropsychiatric symptoms evaluated by NPI-nursing staff version
Baseline visit, 18 months
Dependency evaluated by AGGIR and IADL-4 items
Baseline visit, 18 months
Quality of life evaluated by QOL-AD
Baseline visit, 18 months
- +4 more secondary outcomes
Study Arms (2)
Intervention group
OTHERIntervention group: nursing homes whose residents benefit from MDTM to identify the cases of dementia and to propose an adequate care project
control group
NO INTERVENTIONControl group: nursing homes whose residents continue to benefit from usual care
Interventions
The MDTM, between the memory experts and Nursing Home coordinating practitioners, could help the nursing home medical staff identify the cases of dementia and propose these residents an adequate healthcare project (supplementary investigations, therapeutic modifications, hospitalizations...)
Eligibility Criteria
You may qualify if:
- Residents of both sex, aged 60 years or over
- Residents living in a nursing home participating in the study
- Residents living in the nursing home for 30 days or more
- Residents without diagnosed and documented dementia, identified as follows:
- residents not identified by the French Healthcare system as suffering from dementia (ALD 15)
- residents not benefiting from a specific care program or a specialized follow-up for dementia
- residents for whom there is no appropriate investigation for dementia diagnosis in medical records
- residents not taking specific drugs for dementia (Cholinesterase inhibitors and/or Memantine)
- Residents and their GP having received information about the study
- Residents and their GP having expressed their agreement to participate in the study
You may not qualify if:
- Residents aged less than 60 years
- Residents not living in a nursing home participating in study
- Residents living in nursing home for less than 30 days
- Residents with diagnosed and documented dementia, identified as follows:
- residents Identified by the French Healthcare system as suffering from dementia (ALD 15)
- residents benefiting from specific care programme or specialized follow-up for dementia
- residents for whom there is appropriate investigation for dementia diagnosis in medical records
- residents taking specific drugs for dementia (Cholinesterase inhibitors and/or Memantine)
- Residents and/or their GP who received no information about the study
- Residents and/or their GP having expressed their opposition to participate in the study
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (90)
Centre de Gerontologie Pompeyrie Chu Agen
Agen, France
Ehpad Maison de Retraite Louise Anceau
Albi, France
Ehpad Maison de Retraite Olga Ducoudray
Albi, France
Ehpad Mr "Les Jardins de Jouvence"
Albi, France
Mapad La Renaudie Ch Albi
Albi, France
Ehpad Les Ajoncs D'Or
Allaire, France
Ehpad Maison de Retraite Hl Ax Les Thermes
Ax-les-Thermes, France
Ehpad Marie Lehman
Balma, France
Ehpad Kerdigemer
Brest, France
Ehpad Residence Ker-Heol
Brest, France
Ehpad Residence Saint Astier
Catus, France
Mapa de L'Hopital Local de Caussade
Caussade, France
Ehpad Maison de Retraite Ste Marthe
Ceignac, France
EHPAD Résidence Castelgirou
Cépet, France
Ehpad Leon Ronzier Joly
Clermont-l'Hérault, France
Ehpad Themis Lasplanes
Colomiers, France
Ehpad Maison de Retraite Joseph Sauvy
Err, France
Ehpad Residence Borde Haute Promo-Accueil
Escalquens, France
Mapad "Firmi"
Firmi, France
Ehpad Hopital Local Fleurance
Fleurance, France
Ehpad Mr Bellissen Chi Du Val D'Ariege
Foix, France
Ehpad Dr Robert
Guer, France
Ehpad Residence Grand'Maison
L'Union, France
Ehpad Residence Provencale Medicafrance
La Roquebrussanne, France
Ehpad Residence Clairefontaine
Lamorlaye, France
Mapad Ch Lavaur
Lavaur, France
Ehpad Saint Reah Hir
Le Conquet, France
Ehpad Residence D'Automne de La Ferme
Le Mée-sur-Seine, France
Ehpad Maison de Retraite "Les Charmilles"
Lescure-d'Albigeois, France
Residence Le Parc
Lézat-sur-Lèze, France
Ehpad La Cheneraie
Lherm, France
Ehpad Mr Lagrange
Lisle-sur-Tarn, France
Mapad Labastide Ch Lourdes
Lourdes, France
Ehpad Emile Dubois
Marchiennes, France
Ehpad Les Mille Soleils
Marciac, France
Ehpad Et. Public Gerontologie de Marines
Marines, France
AP-HM Hôptal La Timone Service de Pédiatrie Mutidisciplinaire
Marseille, 13385, France
Ehpad Maison Retraite Hl Mauvezin
Mauvezin, France
Ehpad Maison de Retraite Saint Joseph
Mazamet, France
Ehpad Maison de Retraite Privee de Mazeres
Mazères, France
Ehpad L'Ecrin Des Sages
Mèze, France
Ehpad-Maison Retraite Hl Mirande
Mirande, France
Ehpad Chis Castelsarrasin-Moissac
Moissac, France
Ehpad Maison Retraite Ch Montauban
Montauban, France
Ehpad Era Caso
Montauban-de-Luchon, France
Ehpad Ma Maison
Montpellier, France
Ehpad Maison de Retraite Sainte Agnes
Montredon-Labessonnié, France
Ehpad L'Acacia
Nailloux, France
Logements Foyer La Fontanelle
Naucelle, France
Ehpad Fondation Pauliani
Nice, France
Ehpad Les Noisetiers
Nice, France
Ehpad Residence Ancilla
Nice, France
Ehpad Mais de Retraite Saint-Joseph
Ossun, France
Ehpad Mr Bariol Chi Du Val D'Ariege
Pamiers, France
Ehpad Residence Le Parc
Panazol, France
AP-HP Hôpital Necker Enfants Malades Service d'endocrinologie pédiatrique - 149 route de Sèvres
Paris, 75015, France
Ehpad Furtado Heine
Paris, France
Ehpad Julie Siegfried
Paris, France
Ehpad La Pirandelle
Paris, France
Ehpad Residence Anselme
Paris, France
Ehpad Residence Belleville
Paris, France
Ehpad Residence Herold
Paris, France
Ehpad Residence Oceane
Paris, France
Ehpad Tiers Temps Paris
Paris, France
Ehpad Residence Adeline
Pierre-Buffière, France
Ehpad Residence D'Automne Medica-France
Reims, France
Ehpad L'Oree Du Bois
Rieux-Volvestre, France
Ehpad Residence Saint-Amans
Rodez, France
Ehpad Le Jardin Des Loges
Saint-Bonnet, France
Ehpad Maison Retraite Orelia Ch St Gaudens
Saint-Gaudens, France
Ehpad Residence Themis La Joie de Vivre
Saint-Lys, France
Ehpad Genevriers
Saint-Martory, France
Ehpad A Labouilhe
Saint-Orens-de-Gameville, France
Ehpad Public de Saint-Remy de Provence
Saint-Rémy-de-Provence, France
Ehpad Les Bruyeres
Sousceyrac, France
Ehpad Maison de Retraite Chic Tarbes Vic
Tarbes, France
Ehpad Residence "Le Doyenne Du Carmel"
Tarbes, France
Ehpad Sainte Anne
Tinténiac, France
Ehpad de La Cote Pavee
Toulouse, France
Ehpad Gaubert
Toulouse, France
Ehpad Mr Henri Iv
Toulouse, France
Ehpad Pierre Ducis
Toulouse, France
Ehpad Residence La Cotonniere
Toulouse, France
Ehpad Residence Le Clos Des Carmes
Toulouse, France
Ehpad Residence Marguerite
Toulouse, France
Ehpad Residence Saint-Simon
Toulouse, France
Usld Domaine de La Cadene
Toulouse, France
Ehpad Umt
Valence-d'Albigeois, France
Ehpad Maisonneuve
Villefranche-de-Lauragais, France
Ehpad Saint-Jacques
Villemur-sur-Tarn, France
Related Publications (1)
Rolland Y, Tavassoli N, de Souto Barreto P, Perrin A, Laffon de Mazieres C, Rapp T, Hermabessiere S, Tournay E, Vellas B, Andrieu S. Systematic Dementia Screening by Multidisciplinary Team Meetings in Nursing Homes for Reducing Emergency Department Transfers: The IDEM Cluster Randomized Clinical Trial. JAMA Netw Open. 2020 Feb 5;3(2):e200049. doi: 10.1001/jamanetworkopen.2020.0049.
PMID: 32101308RESULT
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Pierre ALLAN, MD
EHPAD MAISON DE RETRAITE SAINT JOSEPH - MAZAMET
- PRINCIPAL INVESTIGATOR
Véronique ARNAUD-ULLIET, MD
EHPAD MA MAISON MONTPELLIER
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 4, 2011
First Posted
April 4, 2012
Study Start
May 1, 2010
Primary Completion
September 1, 2013
Study Completion
September 1, 2013
Last Updated
July 29, 2020
Record last verified: 2020-07