NCT04970784

Brief Summary

Several studies have shown that going to the emergency room is a risk factor for loss of independence in the elderly. It has been shown that the period following an emergency room visit without hospitalization is a period of vulnerability for the elderly. The functional decline, or loss of functional autonomy, of the elderly is associated with an increase in institutionalization, mortality and costs to society. Studies have highlighted the risk factors for functional decline in the elderly, such as pre-existing functional and cognitive decline, undernutrition, but no model of care has yet prevented the risk of loss of autonomy after a stay in the emergency room. A full and early geriatric assessment could prevent functional decline after the emergency room visit. The primary objective of the study is to assess the impact of a dedicated geriatric sector on the functional decline at 1 month of patients admitted to emergencies without hospitalization by comparing an intervention group (patient having benefited from the geriatric sector) and a group witness ("classic" emergency patient). The secondary objective is to evaluate the impact of this sector on the number of falls at home as well as the readmission rate within 1 month of going to the emergency room.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
285

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Jun 2020

Shorter than P25 for all trials

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

June 15, 2020

Completed
4 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 21, 2020

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

October 21, 2020

Completed
9 months until next milestone

First Submitted

Initial submission to the registry

July 12, 2021

Completed
9 days until next milestone

First Posted

Study publicly available on registry

July 21, 2021

Completed
Last Updated

July 21, 2021

Status Verified

July 1, 2021

Enrollment Period

4 months

First QC Date

July 12, 2021

Last Update Submit

July 12, 2021

Conditions

Health Services for the AgedEmergency Service, HospitalAmbulatory Care

Keywords

ElderlyGeriatric sectorAutonomy

Outcome Measures

Primary Outcomes (1)

  • Change of functional decline at 1 month, measured by the Katz index, Activities of Daily Living (ADL)

    The Katz index, Activities of Daily Living (ADL) questionnaire, assess through 6 items (ranging from 0 to 1) the aptitude to execute daily life activities.

    At Baseline (admission to ermergencies) and 1 month

Study Arms (2)

Patients cared for by the adult sector

Patients admitted to emergencies, non-hospitalized and cared for by the adult sector of emergencies (classical emergencies)

Other: Activities of Daily Living (ADL) questionnaire (The Katz index )

Patients cared for by the geriatric sector

Patients admitted to emergencies, non-hospitalized and cared for by the geriatric sector of emergencies

Other: Activities of Daily Living (ADL) questionnaire (The Katz index )

Interventions

Activities of Daily Living (ADL) questionnaire (The Katz index )OTHER

For patients cared for by the geriatric sector, questionnaire will be filled in at admission D0 and by phone at D30, for the "classic" emergency patients questionnaire will be submitted by phone the day following the consultation D1, and D30.

Patients cared for by the adult sectorPatients cared for by the geriatric sector

Eligibility Criteria

Age75 Years+
Sexall
Healthy VolunteersNo
Age GroupsOlder Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Elderly patients admitted to emergencies without hospitalization

You may qualify if:

  • Age greater than or equal to 75 years
  • Emergency room consultation between 7:30 a.m. and 5:30 p.m.
  • Relevant to the adult emergency department
  • Return home after consultation

You may not qualify if:

  • Age less than 75 years
  • Arrival time between 5.30 p.m. and 7.30 a.m.
  • Need to take care of unhooking
  • Belonging to the short sector, versatile sector
  • Patients hospitalized after consultation

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Centre Hospitalier Alpes Léman, service des urgences

Contamine-sur-Arve, France

Location

MeSH Terms

Conditions

Emergencies

Interventions

Activities of Daily LivingSurveys and Questionnaires

Condition Hierarchy (Ancestors)

Disease AttributesPathologic ProcessesPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

RehabilitationAftercareContinuity of Patient CarePatient CareTherapeuticsHealth ServicesHealth Care Facilities Workforce and ServicesData CollectionEpidemiologic MethodsInvestigative TechniquesHealth Care Evaluation MechanismsQuality of Health CareHealth Care Quality, Access, and EvaluationPublic HealthEnvironment and Public Health

Study Officials

  • Jessica POINTURIER

    Centre Hospitalier Alpes Léman, service des urgences

    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

July 12, 2021

First Posted

July 21, 2021

Study Start

June 15, 2020

Primary Completion

October 21, 2020

Study Completion

October 21, 2020

Last Updated

July 21, 2021

Record last verified: 2021-07

Locations

FR(1)