Association Between Early Consultation by the Primary Care Physician After Hospitalization in Geriatric Medicine Department, and the Risk of Re-hospitalization at 1 and 3 Months

NCT07056153 | Recruiting

• 2 other identifiers: GEREHOSP2025-A00157-42
• Study Type: observational
• Target: 301
• Locations: 1 country
• Sites: 3

Brief Summary

The time it takes for patients to be readmitted to hospital is a major public health issue, both in terms of medical time and costs. In fact, 15% of patients of all ages are likely to be re-hospitalized within a month of hospitalization. Today, hospitalizations present a significant nosocomial risk, all the more so in fragile populations. If these hospitalizations are long or repeated, it is crucial to develop solutions to reduce their number. Elderly people often have a number of complementary pathologies and frailties, which are frequently destabilized during hospitalization or on discharge. In this context of medico-social and financial stakes, a 2012 survey showed that 86% of French physicians would be prepared to make themselves available within 24-48 hours of hospital discharge if the situation justified it. Changes in medical demographics are forcing primary care physicians to adapt their practices, and the evidence of a reduced risk of re-hospitalization would make it possible to prioritize the provision of this consultation on discharge from hospital. Post-hospitalization follow-up consultations with the primary care physician are recommended, but investigators have very little data on their benefits. Investigators hypothesise that an early consultation (1 month post-hospitalization at most) by an elderly patient's primary care physician after hospitalization in geriatric medicine promotes: patient follow-up; reduced risk of re-hospitalization within 3 months. The aim of this study is to determine the association of an early consultation by the primary care physician in the month following discharge from geriatric medicine hospitalization with rehospitalization rates within 3 months.

Conditions

Geriatric

Keywords

primary care physician; early post-hospitalization consultation

Outcome Measures

Primary Outcomes (2)

• Describe the impact of early consultation by the primary care physician in elderly patients who have been hospitalized in geriatric medicine. The early consultation must have taken place within one month of discharge.

  Rate of rehospitalization between initial hospital discharge and 3-month follow-up. This rehospitalization rate will be compared between the 2 groups (with and no consultation). At 1 month : date of consultation with the primary care physician, Number of unscheduled rehospitalizations.

  At 1 month after the end of hospitalisation

• Describe the impact of early consultation by the primary care physician in elderly patients who have been hospitalized in geriatric medicine. The early consultation must have taken place within one month of discharge.

  Rate of rehospitalization between initial hospital discharge and 3-month follow-up. This rehospitalization rate will be compared between the 2 groups (with and no consultation). At 3 months : date of consultation with the primary care physician, Number of unscheduled rehospitalizations.

  At 3 months after the end of hospitalisation

Secondary Outcomes (4)

• Demonstrate reduction in 1-month mortality

  1 month after the end of hospitalization

• Demonstrate reduction in 3-month mortality

  3 month after the end of hospitalization

• Demonstrate reduction in length of stay in hospital

  At 3 month after the end of 1st hospitalization

• Demonstrate reduced care costs

  At 3 months after the initial hospital admission

Study Arms (2)

Patient with consultation

Participation in this study includes a short telephone contact (5 to 10 minutes) at 1 and then at 3 months following discharge from hospital to answer several questions about the return home.

Patient with no consultation

Participation in this study includes a short telephone contact (5 to 10 minutes) at 1 and then at 3 months following discharge from hospital to answer several questions about the return home.

Eligibility Criteria

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

Study Population

Patients aged ≥ 75 years, who were hospitalized in the geriatrics department of one of the 3 investigating centers

You may qualify if:

• Age ≥ 75 years
• Patients hospitalized in the geriatric department of one of the investigating centers
• Patient discharged home from the geriatrics department of one of the investigating centers
• No objection from patient or legal representative to participate in study

You may not qualify if:

• Patients who do not have a primary care physician
• Patients living in an institution or transferred to an institution

Sponsors & Collaborators

• Groupe Hospitalier Mutualiste de Grenoble: lead

Study Sites (3)

Groupe Hospitalier Mutualiste de Grenoble

Grenoble, Isere, 38000, France

RECRUITING

Centre Hospitalier Universitaire Grenoble Alpes Site de Voiron

Voiron, Isere, 38500, France

NOT YET RECRUITING

Centre Hospitalier Métropole Savoie

Chambéry, Savoie, 73011, France

NOT YET RECRUITING

Study Officials

• Emmanuel EJ Jarry, Dr. general medicine

  GHMG

  PRINCIPAL INVESTIGATOR

• Theo TV Ventura, project manager

  GHMG

  STUDY DIRECTOR

Central Study Contacts

Emmanuel EJ Jarry, Dr. general medicine

CONTACT

07 77 37 55 39; emmanuel.jarry@avec.fr

Study Design

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

Study Record Dates

• First Submitted: June 27, 2025
• First Posted: July 9, 2025
• Study Start: June 19, 2025
• Primary Completion: March 1, 2026
• Study Completion: March 1, 2026
• Last Updated: July 15, 2025

Record last verified: 2025-06

Data Sharing

• IPD Sharing: Will not share

Locations

FR (3)