Descriptive Study of Emergency Room Visits From Nursing Home Residents for Behavioral Problems at the Nancy University Hospital: Place of the Advanced Practice Nurse

NCT04846608 | Completed

• 1 other identifier: 2021PI027
• Study Type: observational
• Target: 4,000
• Locations: 1 country
• Sites: 1

Brief Summary

The demographic evolution of old age is a reality. After the age of 75, 2 out of 3 people living in institutions have neurocognitive disorders. Behavioural disorders such as physical aggression, agitation, hallucinations, sleep disorders, generate difficulties in the management of these patients and lead to unscheduled emergency hospitalizations. Non-pharmacological management of behavioral disorders is recommended as a first-line treatment because of its low risk and potential improvement (Haute Autorité de Santé 2009). However, this management is not simple and obvious to put in place, especially since not all elderly people with Behavioural disorders are in adapted structures. The advanced practice nurse specializing in geriatrics has a place in this care pathway. Because of her skills, she could "organize multi-professional care, set up analyses of practices within the nursing homes, train caregivers appropriately, and limit hospitalizations due to behavioral problems" (SALIEGE L. 2020). Advanced practice nursing is in its infancy in France, and everything remains to be done (International Council of Nurses- directive). The aim of the study is to identify the number of emergency room visits by people aged 75 and over for behavioral problems in nursing home during a 6 month-period.

Conditions

Behavioral Disorders

Outcome Measures

Primary Outcomes (1)

• Number of passage of people aged 75 and over referred to emergency departments by nursing homes for disorientation, agitation, dementia or behavioural problems during the study period

  Number of passage of people aged 75 and over referred to emergency departments by nursing homes for disorientation, agitation, dementia or behavioural problems during the study period

  through study completion, an average of 6 months

Secondary Outcomes (8)

• Age of the patients

  through study completion, an average of 6 months

• Gender of the patients

  through study completion, an average of 6 months

• Presence of previous medical cognitive disorder

  through study completion, an average of 6 months

• Name of nursing home of origin

  through study completion, an average of 6 months

• Length of stay at emergency room

  through study completion, an average of 6 months

Study Arms (2)

Nursing home residents with behavioural problems

Nursing home residents from Grand Nancy aged 75 and over referred to emergency departments for disorientation, agitation, dementia or behavioural problems during the study period

Other: Observation

Nursing home residents with other problems

Nursing home residents from Grand Nancy aged 75 and over referred to emergency departments for other reasons

Other: Observation

Interventions

Observation OTHER

Observation

Nursing home residents with behavioural problems; Nursing home residents with other problems

Eligibility Criteria

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

Study Population

All persons aged 75 and over, residents of nursing homes in the Nancy area, who consulted the emergency department during the 6 month study period

You may qualify if:

• Person who has received full information on the organization of the research and has not objected to the use of this data
• Elderly men and women 75 years of age and older at the time of the emergency room visit
• Having for main residence one of the nursing homes of the Grand Nancy
• Administratively present in the emergency department
• Having been admitted to the emergency room for the following reasons:
• Behavioural problems
• Agitation
• Dementia
• Disorientation
• Delirium

You may not qualify if:

• People under 75 years of age
• Residing at home or in a senior residence or in a nursing home outside Grand Nancy
• Referred by an inpatient department (rehabilitation department)
• Other reasons for emergency room use such as "depression" and "apathy

Sponsors & Collaborators

• Central Hospital, Nancy, France: lead
• Marie MANGEOT- Nurse: collaborator
• Mahmut GUNDESLI MD: collaborator

Study Sites (1)

CHRU de NANCY

Nancy, 54000, France

Location

MeSH Terms

Conditions

Mental Disorders

Interventions

Observation

Intervention Hierarchy (Ancestors)

Methods; Investigative Techniques

Study Design

• Study Type: observational
• Observational Model: CASE CONTROL
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: MD

Study Record Dates

• First Submitted: March 26, 2021
• First Posted: April 15, 2021
• Study Start: April 14, 2021
• Primary Completion: June 30, 2021
• Study Completion: June 30, 2021
• Last Updated: November 18, 2021

Record last verified: 2021-11

Data Sharing

• IPD Sharing: Will not share

Locations

FR (1)