Robustness Predictive Factors in People Aged Over 75 Years After Going to the Emergency Room (ROB-U)

NCT04683380 | Completed

• 1 other identifier: RC-P0099
• Study Type: observational
• Target: 110
• Locations: 1 country
• Sites: 1

Brief Summary

After emergency room visits, the elderly patients can increase their dependence and functional decline. In this context the goal of this study is to demonstrate that there are robustness predictive factors after visit to the emergency room.

Conditions

Aging; Emergency Room; Risk Factors

Keywords

Elderly dependence; Emergency room visits; Lack of autonomy; Robustness; Re-hospitalization

Outcome Measures

Primary Outcomes (10)

• Identification of predictive factors of robustness : Autonomy level at home (ADL score)

  ADL self-performance coding ranges from 0 (independent) to 4 (total dependence).

  3 months

• Identification of predictive factors of robustness by a questionnaire (help at home)

  Need of help at home such as : toilet, breakfast, lunch, dinner (yes or not)

  3 months

• Identification of predictive factors of robustness by a questionnaire (family visits)

  Number of family visits

  3 months

• Identification of predictive factors of robustness by a questionnaire (appetit)

  loss of appetite (yes or not)

  3 months

• Identification of predictive factors of robustness (heart rate)

  Heart rate during hospitalization (minimum and maximum values)

  3 months

• Identification of predictive factors of robustness (Modified Triage Risk Screening Tool (TRST)) score

  The TRST score is a tool to predict repeat emergency department visits and hospitalizations in older patients discharged from the emergency department; This tool evaluates 5 dimensions : cognitive disorders presence, walking disorders, polymedication, hospitalization antecedents and functional assessment (loss of autonomy). Every dimension is worth 1 point if the patient presents the disorder. The final maximum score is 5 points.

  3 months

• Identification of predictive factors of robustness : BMI (Body Mass Index)

  Body mass index

  3 months

• Albuminemia

  Rate of Albuminemia

  3 months

• Identification of predictive factors of robustness : Lifestyle

  Lifestyle: person living alone (yes or not)

  3 months

• Sleep assessment using a Visual Analog Scale (VAS).

  This scale allows patients to assess their fatigue. The patients locate their fatigue intensity on a 100-millimeters horizontal line. Using a ruler, the score is determined by measuring the distance (mm) on the 10-cm line between the "no pain" anchor and the patient's mark, providing a range of scores from 0-100. A higher score indicates greater pain intensity.

  3 months

Secondary Outcomes (3)

• Rate of re-hospitalization

  3 months

• Rate of patient survival

  3 months

• Rate of lack of Institutionalization

  3 months

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 is composed of patients aged more than 75 years old and who have eligibility criteria.

You may qualify if:

• Patients admitted to the emergency room
• Patients aged ≥ 75 years old
• Patients without cognitive disorders or vigilance disorders
• Patients living at home
• Patients able to give its non-opposition
• Patients admitted to the hospital in the last 3 months
• Patients refusing to participate in the study

You may not qualify if:

• Patients whose stay is \< 14h or \> 48h
• Patients who die during hospitalization
• Patient not hospitalized
• Patient not returning home after discharge from hospital

Sponsors & Collaborators

• Lille Catholic University: lead

Study Sites (1)

Saint-Vincent Hospital

Lille, Haut-de-France, 59000, France

Location

MeSH Terms

Conditions

Emergencies

Condition Hierarchy (Ancestors)

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

Study Officials

• Jean Bouquillon

  Hôpital Saint-Vincent de Paul

  PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

• First Submitted: December 16, 2020
• First Posted: December 24, 2020
• Study Start: March 10, 2021
• Primary Completion: December 10, 2021
• Study Completion: December 10, 2021
• Last Updated: January 6, 2022

Record last verified: 2022-01

Data Sharing

• IPD Sharing: Will not share

Locations

FR (1)