Impact of a Dedicated Geriatric Sector on the Loss of Functional Autonomy at 1 Month for Patients Admitted to Emergencies and Non-hospitalised (URG-GERIA)

July 12, 2021 updated by: Hospices Civils de Lyon

Several studies have shown that going to the emergency room is a risk factor for loss of independence in the elderly. It has been shown that the period following an emergency room visit without hospitalization is a period of vulnerability for the elderly.

The functional decline, or loss of functional autonomy, of the elderly is associated with an increase in institutionalization, mortality and costs to society.

Studies have highlighted the risk factors for functional decline in the elderly, such as pre-existing functional and cognitive decline, undernutrition, but no model of care has yet prevented the risk of loss of autonomy after a stay in the emergency room.

A full and early geriatric assessment could prevent functional decline after the emergency room visit.

The primary objective of the study is to assess the impact of a dedicated geriatric sector on the functional decline at 1 month of patients admitted to emergencies without hospitalization by comparing an intervention group (patient having benefited from the geriatric sector) and a group witness ("classic" emergency patient).

The secondary objective is to evaluate the impact of this sector on the number of falls at home as well as the readmission rate within 1 month of going to the emergency room.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Observational

Enrollment (Actual)

285

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
      • Contamine-sur-Arve, France
        • Centre Hospitalier Alpes Léman, service des urgences

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

Elderly patients admitted to emergencies without hospitalization

Description

Inclusion Criteria:

  • Age greater than or equal to 75 years
  • Emergency room consultation between 7:30 a.m. and 5:30 p.m.
  • Relevant to the adult emergency department
  • Return home after consultation

Exclusion Criteria:

  • Age less than 75 years
  • Arrival time between 5.30 p.m. and 7.30 a.m.
  • Need to take care of unhooking
  • Belonging to the short sector, versatile sector
  • Patients hospitalized after consultation

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
Patients cared for by the adult sector
Patients admitted to emergencies, non-hospitalized and cared for by the adult sector of emergencies (classical emergencies)
Other: Activities of Daily Living (ADL) questionnaire (The Katz index )
For patients cared for by the geriatric sector, questionnaire will be filled in at admission D0 and by phone at D30, for the "classic" emergency patients questionnaire will be submitted by phone the day following the consultation D1, and D30.
Patients cared for by the geriatric sector
Patients admitted to emergencies, non-hospitalized and cared for by the geriatric sector of emergencies
Other: Activities of Daily Living (ADL) questionnaire (The Katz index )
For patients cared for by the geriatric sector, questionnaire will be filled in at admission D0 and by phone at D30, for the "classic" emergency patients questionnaire will be submitted by phone the day following the consultation D1, and D30.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change of functional decline at 1 month, measured by the Katz index, Activities of Daily Living (ADL)
Time Frame: At Baseline (admission to ermergencies) and 1 month
The Katz index, Activities of Daily Living (ADL) questionnaire, assess through 6 items (ranging from 0 to 1) the aptitude to execute daily life activities.
At Baseline (admission to ermergencies) and 1 month

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Hospices Civils de Lyon

Investigators

  • Principal Investigator: Jessica POINTURIER, Centre Hospitalier Alpes Léman, service des urgences

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 (Actual)

June 15, 2020

Primary Completion (Actual)

October 21, 2020

Study Completion (Actual)

October 21, 2020

Study Registration Dates

First Submitted

July 12, 2021

First Submitted That Met QC Criteria

July 12, 2021

First Posted (Actual)

July 21, 2021

Study Record Updates

Last Update Posted (Actual)

July 21, 2021

Last Update Submitted That Met QC Criteria

July 12, 2021

Last Verified

July 1, 2021

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • 69HCL19_0973
  • 2020-A00211-38 (Other Identifier: ID-RCB)

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

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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