GeRIatric Multidisciplinary Meeting (GRIMM)

Modeling of the Geriatric Multidisciplinary Meeting of the Angers University Hospital

The primary objective of this study is to develop a typology of patients referred to the Geriatric Multidisciplinary Meeting (GMM) according to their demographic and clinical profile.

The secondary objectives are:

• To distinguish the different types of answers given by the GMM according to the demands and situations.
• To study the factors associated with the orientation proposed by the GMM
• To examine the adequacy between the orientation proposed by the GMM and the pathway actually taken
• To compare the diagnoses made during the following year with the data collected during the GMM

Study Overview

• Status: Completed
• Conditions: Geriatric Disorders

Detailed Description

Increasing attention is paid to care pathways for elderly according to the principle of good care applied to the right patient at the right time and in the most appropriate care structure.

Since 2007, the geriatric mobile team (GMT) of the Angers University Hospital has formalized a geriatric multidisciplinary meeting (GMM) in connection with the geriatric network and branch of the geographical sector, in order to optimize the provision of care for elderly patients at the territorial level.

The weekly GMM brings together physicians from the geriatric department (GMT, acute care unit), memory center, long-term care and skilled nursing facilities, cognitive behavioral unit, psychiatry, retirement home, the local geriatric network of the city of Angers, the local information and coordination center, the home for autonomy and integration of Alzheimer patients (MAIA) and specialized Alzheimer (ESA) teams. Requests come either University Hospital services or from outside, via a standardized form. If necessary, additional data collection is carried out before the meeting by telephone with the patient, his family or the general practitioner. A letter explaining the decision of the GMM is sent to the applicant physician and to the general practitioner and recorded in the patient file.

Collegial guidance decisions within the health care system seem to follow implicit rules. Given the growing number of files presented, the investigators want to theorize the adopted mode of reflection.

• Study Type: Observational
• Enrollment (Actual): 734

Contacts and Locations

Study Locations

• France
  • Angers, France, 49933
    • Angers University Hospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 64 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

Patients are recruited during the GMM of the University Hospital of Angers, France

Description

Inclusion Criteria:

• All the files discussed in GMM in the year 2015 following a request for geriatric care addressed to the Geriatrics department of the UH

Exclusion Criteria:

• No one

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
The demographic characteristics and medico-social data provided by the physician and the family at the time of the consultation request	The demographic characteristics are age, sex, marital status, place of life, career, presence of un/formal assistance, …	baseline

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
The answer given by the GMM	This outcome is assessed by the guidance proposal issued by GMM	baseline
The orientation proposed by the GMM	The recommendations made by GMM	baseline
The adequacy between the orientation proposed by the GMM and the pathway actually taken : back in the previous structure, hospitalization, reorientation, entry to a nursing home, other :	The course of care carried out at the Angers UH after the GMM	baseline and during the following year
The diagnoses made during the following year with the data collected during the GMM : Alzheimer's disease, mixed dementia, body lewy, Parkinson's disease, frontotemporal dementia, vascular dementia, other	Diagnoses carried out at the Angers UH after the GMM	baseline and during the following year

Collaborators and Investigators

• Sponsor: University Hospital, Angers

Study record dates

Study Major Dates

• Study Start (Actual): February 16, 2017
• Primary Completion (Actual): September 4, 2017
• Study Completion (Actual): September 4, 2017

Study Registration Dates

• First Submitted: October 26, 2017
• First Submitted That Met QC Criteria: July 5, 2018
• First Posted (Actual): July 6, 2018

Study Record Updates

• Last Update Posted (Actual): July 6, 2018
• Last Update Submitted That Met QC Criteria: July 5, 2018
• Last Verified: October 1, 2017

More Information

Terms related to this study

• Other Study ID Numbers: 2017-06

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No