- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01449968
Provision of a Mobile Geriatric Team Extra-Community Hospital (UMG)
April 25, 2014 updated by: AdministrateurCIC, University Hospital, Grenoble
Provision of a Mobile Geriatric Team Extra-Community Hospital in Assessing and Regulating the Hospitalization of Frail Elderly Patients With Complex Medical and Social Situation
The purpose of this study is to demonstrate the effectiveness of the mobile unit to reduce the geriatric hospital inappropriate (especially for emergencies) to 1 month.
The primary endpoint: survival without hospitalization through the emergency inappropriate to 1 month.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
The purpose of this study is to assess the effectiveness of the Mobile Geriatrics on the management of complex situations in retirement homes and in ambulatory care of frail elderly patients, reported by the generalist doctor, in terms of improving the conditions of use technical support hospital follow-up recommendations given by the mobile team and their impact on outcomes of care.
Study Type
Observational
Enrollment (Actual)
334
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
-
Annecy, France, 74000
- CH Annecy
-
Grenoble, France, 38000
- University hospital of Grenoble
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Roanne, France, 42300
- CH Roanne
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
75 years and older (Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Sampling Method
Non-Probability Sample
Study Population
The study population includes patients over 75 years in medical condition or psycho-social complex, followed by a general practitioner to population centers include: Grenoble, Annecy and Roanne.
Description
Inclusion Criteria:
- Patient aged 75 and over living in complex medical or psycho-social complex or at risk of hospitalization
- Patient affiliated to social security or beneficiary of such a regime
- Patient available for follow-up to 6 months with a caregiver or accompanying social duly appointed.
Exclusion Criteria:
- Patient residing outside intervention sector
- Life-threatening emergency (ambulance)
- Lack of complexity of the situation, supported by routine care
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
home visit of UMG
home visit with evaluation and management of the situation (control over in-home telephone)
|
home visit of UMG
|
telephone management
geriatric mobile unit provides a telephone advice only to the general practitioner with guidance and recommendations (call control)
|
telephone management of the situation reported by the patient's GP
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
effectiveness of the visit of the mobile unit to reduce the geriatric hospital inappropriate (especially for emergencies) to 1 month
Time Frame: 1 month
|
inappropriate survival without hospitalization through the emergency room at 1 month
|
1 month
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
follow-up rate of the proposals of UMG ext (adherence to recommendations and feasibility) and analyze the reasons for not monitoring these proposals one month
Time Frame: 1 month
|
follow-up of recommendations made by the mobile unit of Geriatrics
|
1 month
|
survival without hospitalization inappropriate, mortality, changes in functional status and cognitive health care consumption up to 6 months of surgery
Time Frame: 6 months
|
Unplanned hospitalization rates obtained by telephone follow-up at 3 and 6 months
|
6 months
|
effectiveness of the visit of the mobile geriatric home versus telephone follow-up of mobile geriatric unit
Time Frame: 6 months
|
Analysis of sub-groups
|
6 months
|
needs and difficulties of attending physicians in the care of frail elderly patients with complex medical and social situation before and after the establishment of mobile units for geriatrics.
Time Frame: 1 year
|
Questionnaire to GPs in the health sector concerned
|
1 year
|
cost effectiveness of two types of visit of the mobile unit of Geriatrics (telephone regulation and control over travel home phone)
Time Frame: 6 months
|
Cost of hospitalization.
|
6 months
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Pascal COUTURIER, PUPH, Geriatric unit - University Hospital of Grenoble
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Stuck AE, Siu AL, Wieland GD, Adams J, Rubenstein LZ. Comprehensive geriatric assessment: a meta-analysis of controlled trials. Lancet. 1993 Oct 23;342(8878):1032-6. doi: 10.1016/0140-6736(93)92884-v.
- Bernabei R, Landi F, Gambassi G, Sgadari A, Zuccala G, Mor V, Rubenstein LZ, Carbonin P. Randomised trial of impact of model of integrated care and case management for older people living in the community. BMJ. 1998 May 2;316(7141):1348-51. doi: 10.1136/bmj.316.7141.1348.
- Elkan R, Kendrick D, Dewey M, Hewitt M, Robinson J, Blair M, Williams D, Brummell K. Effectiveness of home based support for older people: systematic review and meta-analysis. BMJ. 2001 Sep 29;323(7315):719-25. doi: 10.1136/bmj.323.7315.719.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
June 1, 2011
Primary Completion (Actual)
May 1, 2013
Study Completion (Actual)
November 1, 2013
Study Registration Dates
First Submitted
July 7, 2011
First Submitted That Met QC Criteria
October 7, 2011
First Posted (Estimate)
October 10, 2011
Study Record Updates
Last Update Posted (Estimate)
April 28, 2014
Last Update Submitted That Met QC Criteria
April 25, 2014
Last Verified
April 1, 2014
More Information
Terms related to this study
Other Study ID Numbers
- DCIC 10 16
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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