Does the Intervention of an Advanced Practice Nurse for Nursing Home Residents Aged 75 and Over in the Grand Nancy Area Make it Possible to Reduce the Use of the Emergency Service for These Residents?
1 other identifier
observational
400
1 country
1
Brief Summary
The rate of emergency room visits is high at the extremes of age, with patients aged 75 or over accounting for 12% of emergency room visits, and the time they spend there is significantly longer than that of younger patients. Nursing Home residents represent 14% of these emergency room visits and only 5% of them on average are not hospitalised and return to their original Nursing Home. A retrospective study of patients aged 75 and over referred to the emergency department of the Nancy Hospital by the Nursing Homes over a six-month period showed that nearly 30% of patients aged 75 and over referred by their Nursing Home were rehospitalized during the period studied, 1/3 for the same reason and 2/3 for other reasons. The intervention of an Advanced Practice Nurse (IPA) attached to geriatric practice, among other things, as an interface between Nursing Home and the hospital therefore seems to have its place in improving the care pathway for the elderly. The assessment by an Advanced geriatric Practice Nurse of residents of Nursing Home aged 75 and over in Grand Nancy area one week after a visit to the emergency room significantly reduces the number of new visits to the emergency room by these residents over a follow-up period of seven months, compared with residents of Nursing homes aged 75 and over (outside Grand Nancy area) who do not benefit from an assessment by an Advanced Practice Nurse.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started May 2023
Shorter than P25 for all trials
1 active site
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
First Submitted
Initial submission to the registry
November 14, 2022
CompletedFirst Posted
Study publicly available on registry
November 25, 2022
CompletedStudy Start
First participant enrolled
May 1, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2023
CompletedNovember 25, 2022
November 1, 2022
1 month
November 14, 2022
November 22, 2022
Conditions
Outcome Measures
Primary Outcomes (1)
RATE OF REHOSPITALISATION OVER THE ENTIRE FOLLOW-UP PERIOD IN THE 2 GROUPS OF PATIENTS WITH AND WITHOUT ADVANCED PRACTICE NURSE INTERVENTION
through study completion, an average of 7 months
Secondary Outcomes (2)
PROPORTION OF AVOIDABLE VISITS FOR A REASON SIMILAR TO THE REASON FOR INITIAL HOSPITALISATION
through study completion, an average of 7 months
PROPORTION OF PATIENTS DIRECTLY ADMITTED TO THE NANCY HOSPITAL GERIATRIC UNIT
through study completion, an average of 7 months
Study Arms (2)
Nursing Home resident from Grand Nancy area with Advanced Practice Nurse intervention
Patients aged 75 years and over, resident in Nursing Home at the time of inclusion, and received at least once in the emergency room of the Nancy Hospital during the period concerned. Inclusion in the group with IPA intervention for Nursing Home residents of the Grand Nancy area where the Advanced Practice Nurse is authorised to intervene.
Nursing Home resident outside Grand Nancy area without Advanced Practice Nurse intervention
Patients aged 75 years and over, resident in Nursing Home at the time of inclusion, and received at least once in the emergency room of the Nancy Hospital during the period concerned. Inclusion in the control group for Nursing Home residents outside the Grand Nancy area without the Advanced Practice Nurse intervention.
Interventions
Observation
Eligibility Criteria
All persons aged 75 and over, residents of nursing homes ,who consulted the emergency department of Nancy Hospital during the 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
- Administratively present in the emergency department
You may not qualify if:
- People under 75 years of age
- Residing at home or in a senior residence
- Referred by an inpatient department (rehabilitation department)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Central Hospital, Nancy, Francelead
- Mahmut GUNDESLI MDcollaborator
- Manon DUPRE, internshipcollaborator
Study Sites (1)
CHRU de Nancy
Vandœuvre-lès-Nancy, 54500, France
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- CASE CONTROL
- Time Perspective
- RETROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Medical Doctor - Hospital Practitioner
Study Record Dates
First Submitted
November 14, 2022
First Posted
November 25, 2022
Study Start
May 1, 2023
Primary Completion
June 1, 2023
Study Completion
June 1, 2023
Last Updated
November 25, 2022
Record last verified: 2022-11