Urgent Care for the Elderly: Impairment and Home Care Services (EPIGER)

Elderly population is increasing quickly and their need for health care ressources through emergency care is also growing. While these patients are ageing physical impairment often happens along the way. Apart from senior homes, different types and levels of home care services have been developped in order to overcome or to adapt to these situations.

Our goals are:

• to assess mortality rate depending on home care services level for the elderly population consulting in the ED or being taken in charge by the Emergency Medical System in France.
• to describe this population in terms of autonomy, impairment and home care services

Study Overview

• Status: Completed
• Conditions: Impaired

• Study Type: Observational
• Enrollment (Actual): 3200

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 80 years and older (Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

All patients aged 80 and over visiting the ED, taking in charge by SMUR (medical EMS) or calling SAMU (medical call center) during 24 hours

Description

Inclusion Criteria:

• patients aged 80 and over

Exclusion Criteria:

• aged<80 years old

Study Plan

How is the study designed?

Design Details

• Observational Models: Cohort
• Time Perspectives: Prospective

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Mortality rate at hospital discharge	Mortality rate at hospital discharge	At hospital discharge or 30 days at most

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Admission rate	Admission in a medical, surgical or psychiatric unit are considered	Admission is decided on the first 24 hours after EMS or ED care, the day of the inclusion
Level of home care services	Different items in a questionnaire are asked to the patient or family concerning weekly home care services use for patient usually (which type and how often)	Questionnaires given the day of the inclusion
Level of health care ressources	Lab investigations, radiology, surgery, treatment administered	During the ED visit (less than 24 hours), the day of the inclusion

Collaborators and Investigators

• Sponsor: European Georges Pompidou Hospital

Publications and helpful links

General Publications

• Feral-Pierssens AL, Toury G, Sehimi F, Peschanski N, Laribi S, Carpentier A, Kraif M, Carbonnier C, Duchateau FX, Freund Y, Juvin P; EPIGER IRU-SFMU study group. Emergency department outcome of elderly patients assisted by professional home services, the EPIGER study. BMC Geriatr. 2020 Sep 21;20(1):355. doi: 10.1186/s12877-020-01742-1.

Study record dates

Study Major Dates

• Study Start: March 1, 2016
• Primary Completion (Actual): March 1, 2016
• Study Completion (Actual): March 1, 2016

Study Registration Dates

• First Submitted: September 1, 2016
• First Submitted That Met QC Criteria: September 8, 2016
• First Posted (Estimate): September 14, 2016

Study Record Updates

• Last Update Posted (Estimate): September 14, 2016
• Last Update Submitted That Met QC Criteria: September 8, 2016
• Last Verified: September 1, 2016

More Information

Terms related to this study

• Other Study ID Numbers: EPIGER

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: No

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No
• product manufactured in and exported from the U.S.: No