Evaluation Program of the Benefit of the Coordination of the Course of the Elderly Patient in Health Establishment - Pilot Study.

NCT02348892 | Unknown

• 1 other identifier: RC14_0343
• Study Type: observational
• Target: 100
• Locations: 1 country
• Sites: 1

Brief Summary

The large share of chronic diseases correlated with an aging population calls to develop necessary coordination between the hospital and non-hospital (professional of the city, home ...) to create new complementarities. Since July 2013, the Nantes University Hospital experiences the establishment of a coordinator route patient in Gerontology. The evaluation program of the benefit of coordinating the course in elderly patients in health establishment (PROCOPES) must allow to prove the efficiency of the intervention of a coordinator route patient, following elderly patients in complex situations, both within the hospital and outside the hospital (home, nursing home,...). The objective of PROCOPES is to show the added value of an innovative position that can make the link between the hospital and the city on deemed complex situations.The pilot study results present a strong interest for health care settings, nursing home and in the world of research. It will also permit to have preliminary data for bigest studies.

Conditions

Elderly Patients in Complex Situations

Outcome Measures

Primary Outcomes (1)

• Cost-utility analysis (CUA)

  A differential cost-utility ratio will be used to compare both interventions. The evaluation of costs will take into account direct health care insurance cost, hospital costs and patient cost (according to the french health care insurance system). The evaluation of utility will be based on the evaluation of patient's quality of life, measured by EuroQol EQ-5D.

  6 months

Study Arms (2)

With coordinator

Elderly patients, in complex situation, taken care by coordinator

Other: Coordinator

Without coordinator

Elderly patients, in complex situation, taken care by the classic plan

Other: Classic plan

Interventions

Coordinator OTHER

Patients in complex situation taken care by coordinator

With coordinator

Classic plan OTHER

Patients in complex situation taken care by classic plan

Without coordinator

Eligibility Criteria

• Age: 70 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

The eligible patients for the study will be the patients of 70 and more years old hospitalized in the Nantes UH in the acute care medical department internal medical departement medical urgency, rehabilitation unit, neurology, gastro-enterology of the CHU of Nantes and which are in complex medical and social situation, whoever is their motive for hospitalization.

You may qualify if:

• Patient of 70 and more years old
• Patient living on Nantes
• Hospitalized in Nantes UH
• Patient whose the hospitalization is not relevant at the time of the request of trajectory case manager
• Patient whose the situation is complex (without solution at the time of the request)
• Patient (or legal representative) having given his assent of participation

You may not qualify if:

• Patient (or legal representative) refusing to participate in the protocol
• Patient whose follow-up is impossible (ex: programmed move, life expectation)

Sponsors & Collaborators

• Nantes University Hospital: lead

Study Sites (1)

Nantes UH

Nantes, 44093, France

RECRUITING

Study Design

• Study Type: observational
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: January 16, 2015
• First Posted: January 28, 2015
• Study Start: December 1, 2014
• Primary Completion: February 1, 2016
• Study Completion: February 1, 2016
• Last Updated: January 28, 2015

Record last verified: 2015-01

Locations

FR (1)