Development of a Constipation Risk Assessment Scale for Hospitalized Patients. (ERCoPH)

Develop a risk assessment scale for constipation of hospitalized patients to identify at an early stage high-risk individuals and to implement the appropriate means of prevention.

Study Overview

• Status: Completed
• Conditions: Constipation
• Intervention / Treatment: Other: Constipation risk assessment scale

Detailed Description

Constipation remains a prominent problem in the hospital care setting given the accumulation of contributing factors. Indeed, one of the most common causes of constipation is the existence of irregular habits in stool schedules, including the fact of delaying the time to go to the toilet, which causes the subject for a prolonged period of time to inhibit symptoms. defecation reflexes.

These disorders are often increased by the lack of exercise and prolonged bed rest, which cause a lack of muscle of the abdominal strap, the abdominals not being able to play their role of compression.

Some drugs are also a major cause of the difficulty of intestinal elimination, including opiates, anticholinergics, anti-depressants, etc.

Finally, an unbalanced diet, a water deficiency are aggravating factors, as is anxiety. In the medical and para-medical literature, there is no complete and validated tool for assessing the risk of constipation at the admission of a hospital stay. This project is to develop a constipation risk assessment scale, which can be used autonomously by nurses, based on the risk factors identified in the literature, scales published in English, and 2007 recommendations from the French National Society of Gastroenterology, recommendations of the High Authority of Health and a consensus of experts. The use of such a tool would make it possible to identify at an early stage high-risk individuals and to implement the appropriate means of prevention.

• Study Type: Observational
• Enrollment (Actual): 516

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

Patients in services where constipation is a major concern : orthopedic surgery (Bordeaux), plastic surgery (Bordeaux), medical cardiology (Bordeaux) and internal medicine (Limoges).

Description

Inclusion Criteria:

• Male or female 18 years or older
• Swallowing, drinking and eating
• Hospitalized in one of the participating services
• Hospitalized for a period of at least 4 days
• Able to give informed consent and answer questions about his or her lifestyle

Exclusion Criteria:

• Patient with major constipation at baseline (no stool for at least 6 days)
• History of intestinal surgery during the 10 days preceding the study,
• Hospitalized in palliative care or bed identified palliative care.

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Constipation yes/no	Less than a saddle in the first 4 days and prescription of laxatives	On the 4th day of hospitalization

Collaborators and Investigators

• Sponsor: University Hospital, Bordeaux
• Investigators: Principal Investigator: Valérie BERGER, Mrs, University Hospital, Bordeaux

Study record dates

Study Major Dates

• Study Start (Actual): May 6, 2012
• Primary Completion (Actual): April 16, 2014
• Study Completion (Actual): April 16, 2014

Study Registration Dates

• First Submitted: August 22, 2019
• First Submitted That Met QC Criteria: August 22, 2019
• First Posted (Actual): August 28, 2019

Study Record Updates

• Last Update Posted (Actual): August 28, 2019
• Last Update Submitted That Met QC Criteria: August 26, 2019
• Last Verified: August 1, 2019

More Information

Terms related to this study

• Keywords: Hospitalized patients
• Additional Relevant MeSH Terms: Signs and Symptoms, Digestive; Constipation
• Other Study ID Numbers: CHUBX 2010/44

Plan for Individual participant data (IPD)

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