A Descriptive Multicenter Investigation of Geriatrics Hotlines : A French Study

NCT03959475 | Completed

• 1 other identifier: CFPPA-Loire-Hotline-2018
• Study Type: observational
• Target: 2,000
• Locations: 1 country
• Sites: 1

Brief Summary

In France, for general practitioners, the Emergency Hospitality Services (UAS) are the fastest and usual way to respond to the complexity of managing elderly polypathological patients. In 2013, the Regional Health Agencies proposed the creation of direct telephone assistance managed by geriatric doctors (geriatric hotlines) to promote interactions city - hospital. The aim of these hotlines is to improve the care pathways and health status of seniors. The objective of this study is to describe the care trajectories and health status of subjects over 75 years of age hospitalized in a short-term geriatric stay on the guidance of a Geriatric Hotline. The study will take place over 24 months and in 7 French University Hospitallers Centres. The study will include all patients aged 75 and over, living at home or in an institution, who are hospitalized in a short-term geriatric ward on the guidance of a Hotline. The results will show whether a management by the geriatric hotline is the most suitable for seniors, with an average length of stay probably shorter.

Conditions

Geriatric; Elderly

Keywords

Elderly subject; healthcare; Hotline; emergency department; GP medicine

Outcome Measures

Primary Outcomes (1)

• the mean duration of hospitalization in short-stay geriatric care

  the mean duration of hospitalization in short-stay geriatric care

  through study completion, an average of 2 years

Secondary Outcomes (2)

• Assessment of health status using the Charlson comorbidity index for elderly patients hospitalized in short-stay geriatric wards

  through study completion, an average of 2 years

• Describing and comparing how the different hotlines across France function

  through study completion, an average of 2 years

Study Arms (7)

Saint-Etienne Hospital

All people aged 75 years and over hospitalized in short-stay geriatric care via a hotline in this hospital

Firminy hospital

All people aged 75 years and over hospitalized in short-stay geriatric care via a hotline in this hospital

South Lyon hospital

All people aged 75 years and over hospitalized in short-stay geriatric care via a hotline in this hospital

Bordeaux hospital

All people aged 75 years and over hospitalized in short-stay geriatric care via a hotline in this hospital

Saint-Chamond hospital

All people aged 75 years and over hospitalized in short-stay geriatric care via a hotline in this hospital

Angers hospital

All people aged 75 years and over hospitalized in short-stay geriatric care via a hotline in this hospital

Clermont Ferrand hospital

All people aged 75 years and over hospitalized in short-stay geriatric care via a hotline in this hospital

Eligibility Criteria

• Age: 75 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

The study population will be constituted of people aged 75 and over, living in their own home or in a care facility (including independent-living facilities), hospitalized in short-stay geriatric care referred by the hotline in one of the investigating centers, and who are fully aware of the study and their rights regarding their participation.

You may qualify if:

• Age over 75
• Male/Female
• Living at home or in an institution (independent residence included)
• Being hospitalized in a short geriatric stay

You may not qualify if:

• Patients under 75 years
• Refusal to participate in study

Sponsors & Collaborators

• Support and Education Technic Centre: lead
• National School for Social Security: collaborator
• Loire department: collaborator

Study Sites (1)

CHU Saint-Etienne

Saint-Etienne, 42000, France

Location

Related Publications (3)

• Mourgues C, Bongue B, Dupre C, Goethals L, Celarier T, Blanquet M. Geriatric Helpline Services to Improve Health and Care Pathways in Older Adults: A Cost-Effectiveness Analysis. Health Sci Rep. 2025 Dec 8;8(12):e71635. doi: 10.1002/hsr2.71635. eCollection 2025 Dec.

  PMID: 41377772 DERIVED

• Goethals L, Barth N, Martinez L, Lacour N, Tardy M, Bohatier J, Bonnefoy M, Annweiler C, Dupre C, Bongue B, Celarier T. Decreasing hospitalizations through geriatric hotlines: a prospective French multicenter study of people aged 75 and above. BMC Geriatr. 2023 Nov 28;23(1):783. doi: 10.1186/s12877-023-04495-9.

  PMID: 38017388 DERIVED

• Martinez L, Lacour N, Gonthier R, Bonnefoy M, Goethals L, Annweiler C, Salles N, Jomard N, Bohatier J, Tardy M, Ojardias E, Jugand R, Bongue B, Celarier T. Impact of Geriatric Hotlines on Health Care Pathways and Health Status in Patients Aged 75 Years and Older: Protocol for a French Multicenter Observational Study. JMIR Res Protoc. 2020 Feb 13;9(2):e15423. doi: 10.2196/15423.

  PMID: 32053116 DERIVED

MeSH Terms

Conditions

Emergencies

Condition Hierarchy (Ancestors)

Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Régis GONTHIER

  CHU SAINT-ETIENNE

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: PROSPECTIVE
• Target Duration: 1 Month
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Profesor

Study Record Dates

• First Submitted: May 16, 2019
• First Posted: May 22, 2019
• Study Start: May 5, 2018
• Primary Completion: March 30, 2020
• Study Completion: April 30, 2020
• Last Updated: July 14, 2020

Record last verified: 2020-07

Locations

FR (1)