Health Care Courses of Elderly Hospitalized Patients for Inappropriate Reasons: Qualitative and Economic Analyzes

NCT02749669 | Completed DMC

• 1 other identifier: PAGE
• Study Type: interventional
• Target: 22
• Locations: 1 country
• Sites: 1

Brief Summary

For almost 17 % of cases patients over 75 years are sent for inappropriate reasons to the emergency unit. They are described as inappropriate hospitalization because they don't require the use of technical platform or diagnostic neither therapeutic procedures under medical supervision. Those are inappropriate because the patient could have a paramedical and social care at home or in more efficient structures. The hospital remains the place of remedy for social and health situations whose resolution was not possible because of a lack of infrastructure available, of patient or his relative information, or a lack of coordination in medico-social establishment. These inappropriate hospitalizations involve an increase of length of stay that enhancing the fragility and vulnerability of the elderly. They have deleterious effects as decompensation, comorbidities and loss of autonomy. Moreover, the suffering of natural or informal caregivers is also an important public health question; Caregivers may have a serious disease resulting from caring their relative. That leads to increase their consumption of health care and medical goods. This comprehensive study will highlight the deficiencies of the actual health care through the analysis of the speech of the different parts involved (main study). Simultaneously, a comparative analysis of the costs of health care will be conducted (economic combined study).

Conditions

Cognitive Impairment

Keywords

Inappropriate hospitalization; elderly; mild or moderate cognitive impairment; qualitative research; economic evaluation

Outcome Measures

Primary Outcomes (1)

• 90 semi-structured interviews

  Qualitative Data analysis - Theoretical saturation

  6 months

Secondary Outcomes (2)

• Demographic and socio-economic questionnaires of 15 patients

  6 months

• Caregiver Reaction Assessment (CRA) scale

  6 months

Study Arms (2)

Qualitative research

OTHER

Semi-structured interviews

Other: Qualitative research

Economic evaluation

NO INTERVENTION

Questionnaire

Interventions

Qualitative research OTHER

Semi-structured Interviews

Qualitative research

Eligibility Criteria

• Age: 75 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Older Adult (65+)

You may qualify if:

• Patients 75 years old and older,
• Hospitalized in the emergency or geriatric units of the University Hospital of Besançon for inappropriate reasons according to Appropriate Assessment Protocol criteria,
• With a history of mild to moderate cognitive impairment according to the latest cognitive assessment (HAS 2009),
• Who have expressed no objection towards collecting and processing personal data (health care, health status, demographic and socio-economic characteristics) after information regarding the goals and course of the study.
• Adults under guardianship may be included
• For the five patients followed:
• Able to speak French,
• Who have given their written consent to participate in the study after information about the objectives and course of the study (interviews, collection of personal data).

You may not qualify if:

• \- Patients who have expressed their opposition to collecting and processing personal data.
• For the five patients followed:
• Patients with a history of cognitive impairment preventing the semi-structured interview,
• Unable to speak French.

Sponsors & Collaborators

• Régis AUBRY: lead

Study Sites (1)

AUBRY Regis

Besançon, 25000, France

Location

MeSH Terms

Conditions

Cognitive Dysfunction; Lymphoma, Follicular

Condition Hierarchy (Ancestors)

Cognition Disorders; Neurocognitive Disorders; Mental Disorders; Lymphoma, Non-Hodgkin; Lymphoma; Neoplasms by Histologic Type; Neoplasms; Lymphoproliferative Disorders; Lymphatic Diseases; Hemic and Lymphatic Diseases; Immunoproliferative Disorders; Immune System Diseases

Study Officials

• Séverine KOEBERLE, Dr

  Centre Hospitalier Universitaire de Besancon

  PRINCIPAL INVESTIGATOR

• Thomas TANNOU, Dr

  Centre Hospitalier Universitaire de Besancon

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: April 7, 2016
• First Posted: April 25, 2016
• Study Start: March 1, 2016
• Primary Completion: August 1, 2016
• Study Completion: February 1, 2017
• Last Updated: February 1, 2017

Record last verified: 2016-04

Locations

FR (1)