Prospective Study Assessing Two Scales for Identification of Complex Elderly Patients in the Emergency Department

NCT04621292 | Completed

• 1 other identifier: 20-05
• Study Type: observational
• Target: 141
• Locations: 1 country
• Sites: 1

Brief Summary

With the help of medical progress, life expectancy has increased in our country, resulting in an increase in the number of elderly people and especially so-called complex patients. These complex elderly patients present with a combination of poly pathology, locomotor disorders and loss of autonomy, which leads to increased risks of hospitalization, re-hospitalization or difficulty in remaining at home. These risks could be reduced by early adapted care specific to this type of patient. To do this, it is necessary to identify these complex elderly patients as early as possible in their care pathway. Screening complex elderly patients in the emergency department would require trained and educated staff, or the use of a simple, rapid and reliable diagnostic scale. The purpose of this study is to compare two scales for the screening of complex elderly patients, whose use is adapted to the Hospital Emergency Department environment. This study assess the diagnostic performance of the ISAR and SoCoLoc scales for complex elderly patients.

Conditions

Geriatric

Outcome Measures

Primary Outcomes (1)

• Overall diagnostic performance of the two scales comparing the AUC

  The overall diagnostic performance of each scale will be measured using the area under the ROC curve (sensitivity vs. 1-specificity). The performance of the two scales will be measured and compared using a parametric or non-parametric Z-test for matched data according to the number of events observed, i.e. the number of "complex" patients. A ROC curve will be performed in order to determine the best positivity threshold of each scale. Patients will be classified as "complex" or "non-complex" by the blind adjudication committee of the results of the two scales.

  Up to emergency admission

Secondary Outcomes (3)

• Sensitivity and specificity of the two scales

  Up to emergency admission

• Number and proportion of complex elderly patients

  Up to emergency admission

• Patient characteristics description

  Up to emergency admission

Eligibility Criteria

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

Study Population

The study will focus on patients aged 75 and over who consult the Emergency Department of the Annecy Geneva Hospital.

You may qualify if:

• Patients over 75 years of age
• Patient presenting to the "Emergency Department" of the Annecy Genevois hospital, whatever the reason for consultation, from Monday to Friday between 8:00 a.m. and 8:00 p.m.
• Patient informed of the study and not opposed to participation

You may not qualify if:

• Patients under guardianship or curatorship
• Patients under the safeguard of justice
• Patient presenting for a life-threatening emergency
• Patient unable to answer the questions on the scales
• Patient does not speak French
• Patients who have already been included in the study: any patient already included in the study and making another trip to the emergency department cannot be included a second time.

Sponsors & Collaborators

• Centre Hospitalier Annecy Genevois: lead

Study Sites (1)

Centre Hospitalier Annecy Genevois

Metz-Tessy, 74374, France

Location

Study Officials

• Bahman MOHEB KHOSRAVI

  CH Annecy Genevois

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: CASE CONTROL
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: November 3, 2020
• First Posted: November 9, 2020
• Study Start: August 17, 2020
• Primary Completion: October 16, 2020
• Study Completion: October 16, 2020
• Last Updated: November 12, 2020

Record last verified: 2020-11

Locations

FR (1)