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

  • France
      • Annecy, France, 74000
        • CH Annecy
      • Grenoble, France, 38000
        • University hospital of Grenoble
      • 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)
Other: home visit
home visit of UMG
telephone management
geriatric mobile unit provides a telephone advice only to the general practitioner with guidance and recommendations (call control)
Other: telephone management
telephone management of the situation reported by the patient's GP
Other Names:
  • telephone management of the mobile unit of Geriatrics

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

University Hospital, Grenoble

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

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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