Physiotherapist in the Emergency Department (KiUrge)

Physiotherapist in the Emergency Department : What Impact Does the Intervention of the Physiotherapist Have on the Care Pathway of the Elderly Person Who Falls?

This study aims to evaluate the impact of assessment and early physiotherapy management on the care pathway of the elderly person who falls, their length of stay in hospital and their fall recurrence rate.

Study Overview

• Status: Completed
• Conditions: Emergencies; Fall
• Intervention / Treatment: Other: Physiotherapy in the emergency department after a fall

• Study Type: Observational
• Enrollment (Actual): 155

Contacts and Locations

Study Locations

• France
  • Loire-Atlantique
    • Nantes, Loire-Atlantique, France, 44093
      • University Hospital of Nantes

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 75 years and older (Older Adult)
• Accepts Healthy Volunteers: No

• Sampling Method: Probability Sample

Study Population

People aged 75 and over admitted to emergency for falls

Description

Inclusion Criteria:

1. Patients aged 75 and over
2. Patients admitted to emergency for falls.
3. Clinically stable patient who may benefit from a gait assessment or fall risk assessment
4. Patients able to understand the protocol and not verbally object to participation.

Exclusion Criteria:

1. Patients with limb fractures requiring surgical treatment
2. Patients under guardianship or curatorship.
3. Patients already included in an interventional research protocol.

Study Plan

How is the study designed?

Number of groups / cohorts

2

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
Physiotherapy group; Intervention group with assessment and early physiotherapy	Other: Physiotherapy in the emergency department after a fall; Realization of a physiotherapy assessment.
Control group; control group without assessment and physiotherapy in the emergency department

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Patient orientation (return home, short-term hospitalization unit, hospitalization) at discharge from the emergency department	The orientation of the patient on discharge from the emergency services, according to the three defined pathways (return home, short-term hospitalization unit, hospitalization).	up to 48 hours

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Length of stay in emergency departments and in the short stay hospital unit	Calculation of the duration in hours by recording the dates and times of admission and discharge from the service.	up to 48 hours
Total duration of hospitalization for each stay, all services combined	Calculation of the duration in hours by recording the dates and times of admission to the emergency services and final discharge from the hospital.	1 week
Number of recurrence of emergency admission for the same reason (fall)	Recurrence of a fall within seven days of returning home	up to 9 days
Satisfaction of doctors in emergency services	A satisfaction questionnaire will be sent to all doctors who participated in the study	0 day
Emergency discharge referral before and after assessment by the physical therapist.	For the "Physiotherapy group" : Description of changes in physician orientation decision (return home, acute care unit, hospitalization) of patients, before/after the physical therapist assessment	up to 48 hours

Collaborators and Investigators

• Sponsor: Nantes University Hospital
• Collaborators: Laboratoire Motricité, Interactions, Performance (UR 4334) of Nantes University
• Investigators: Principal Investigator: Marie Blandin, Nantes University Hospital; Principal Investigator: Marie Gallet, marie.gallet@chu-nantes.fr; Principal Investigator: Guillaume LE SANT, PhD, Laboratoire Motricité, Interactions, Performance (UR 4334)

Study record dates

Study Major Dates

• Study Start (Actual): April 6, 2023
• Primary Completion (Actual): March 14, 2024
• Study Completion (Actual): March 14, 2024

Study Registration Dates

• First Submitted: February 10, 2023
• First Submitted That Met QC Criteria: February 21, 2023
• First Posted (Actual): March 3, 2023

Study Record Updates

• Last Update Posted (Actual): May 22, 2024
• Last Update Submitted That Met QC Criteria: May 21, 2024
• Last Verified: May 1, 2024

More Information

Terms related to this study

• Keywords: Emergency department; Fall; Physiotherapist; Elderly person
• Additional Relevant MeSH Terms: Pathologic Processes; Disease Attributes; Emergencies
• Other Study ID Numbers: RC23_0068

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED

Drug and device information, study documents

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