File Analysis of Falling Patients: Are Drugs Frequently Involved (ADOPAC)
The damage caused by patient falls is a major public health problem, due to the large and growing number of people concerned, the potentially serious consequences but also the financial cost generated by their care.
These consequences can be physical as well as psychological. Fractures and pain are the first consequences that come to mind, but many others should be mentioned: post-fall syndrome, loss of autonomy or even entering an institution, fear of falling, loss of confidence in itself.
Studieoversigt
Detaljeret beskrivelse
During 2018, 285 reports of falls were counted within the Paris Saint-Joseph Hospital Group (GhPSJ). Reducing these falls is one of the institutional goals. A dedicated working group has been created to put in place preventive and corrective measures.
These falls can be caused by many factors to the patient:
Intrinsic:
- History of a fall,
- pathologies (Parkinson's or Alzheimer's disease),
- hearing and visual disturbances,
- urinary incontinence.
extrinsic:
- Unsuitable shoes
- unsuitable habitat,
- slippery floors (eg bathroom).
Among the intrinsic factors, polypharmacy is also found. It has been established that certain drug classes are at risk of falling, in particular psychotropic drugs (benzodiazepines, hypnotics, anxiolytics, antidepressants, neuroleptics) which promote sedation and dizziness, hypoglycemic drugs which cause hypoglycaemia in diabetic patients on -treated or antihypertensive drugs causing hypotension.
It is now clearly established that drug adherence to treatment is poor in cities, giving rise to omissions but also sometimes to overconsumption of certain drugs, including psychotropic drugs.
Undersøgelsestype
Tilmelding (Faktiske)
Kontakter og lokationer
Studiesteder
-
-
Ile De France
-
Paris, Ile De France, Frankrig, 75014
- Groupe Hospitalier Paris Saint-Joseph
-
-
Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Prøveudtagningsmetode
Studiebefolkning
Beskrivelse
Inclusion Criteria:
- Major patient
- French-speaking patient
- Patient hospitalized within the Paris Saint-Joseph Hospital Group
- Patient who fell during hospitalization and for whom a fall report has been completed
Exclusion Criteria:
- Patients in the process of therapeutic limitation
- Patient under guardianship or curatorship
- Patient deprived of liberty
- Patient objecting to participation in the study
- Patient under legal protection
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
Kohorter og interventioner
Gruppe / kohorte |
Intervention / Behandling |
|---|---|
|
Patients
From Monday to Friday, the study will be offered to patients selected consecutively and who have fallen within the previous 24 hours (between 7.55 a.m. the day before and 7.55 a.m. the next day). After delivery of the written information note to the patient, the investigating physician answers the patient's questions and accepts his non-objection. The patient should be given sufficient time to think things through to make the decision to participate in the study. Its non-opposition will be traced in the computerized medical file created on the day of its inclusion in the protocol. Each patient participating in the study retains the possibility of participating simultaneously in another research. No exclusion period is provided for in the protocol. |
Once the patient is included, a drug assessment is carried out as part of the treatment and then an compliance questionnaire is submitted to him.
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
To assess the prevalence of falls associated with one or more risk factors for drug iatrogenism within the Paris Saint-Joseph Hospital Group.
Tidsramme: 1 week
|
Percentage of falls involving one or more drugs at risk of falling
|
1 week
|
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
List the drug treatments at risk taken by patients who fall
Tidsramme: 1 week
|
To list the drug treatments taken by the patients who fall: carrying out the patient's drug assessment
|
1 week
|
|
Evaluate the relevance of drug prescriptions in patients who fall
Tidsramme: 1 week
|
Average number of inappropriate medication prescriptions per patient
|
1 week
|
|
Evaluate the overall compliance of falling patients
Tidsramme: 1 week
|
Average compliance score in patients who fall
|
1 week
|
Samarbejdspartnere og efterforskere
Efterforskere
- Ledende efterforsker: Elodie MENAGE, Groupe Hospitalier Paris Saint Joseph
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Primær færdiggørelse (Faktiske)
Studieafslutning (Faktiske)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Andre undersøgelses-id-numre
- ADOPAC
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .
Kliniske forsøg med Efterårspatienter
-
Columbia AsiaAfsluttetPatient Compliance | Læge-patient forholdIndien
-
University of AarhusUkendtPatientengagement | Patient Empowerment | Patient Compliance
-
Peking Union Medical College HospitalAfsluttetPatient efter hjerteklapkirurgi | Patient med langvarig mekanisk ventilationKina
-
University of British ColumbiaAfsluttetMeddelelse | Tilfredshed | Læge-patient forhold | Sygeplejerske-patient relationerCanada
-
University of California, San DiegoPatient-Centered Outcomes Research Institute; University of Massachusetts... og andre samarbejdspartnereAfsluttetPatientengagement | Læge-patient forhold | Lægens rolle | Patient aktiveringForenede Stater
-
OHSU Knight Cancer InstituteNational Cancer Institute (NCI); Oregon Health and Science UniversityAfsluttet
-
University of Dublin, Trinity CollegeDublin Dental University HospitalRekrutteringOverholdelse, patientIrland
-
Centre Hospitalier le MansAfsluttet
-
Fondazione Policlinico Universitario Agostino Gemelli...AfsluttetHjertekirurgisk patientItalien
-
Gustave Roussy, Cancer Campus, Grand ParisAfsluttet
Kliniske forsøg med No intervention
-
Otsuka Pharmaceutical Factory, Inc.CelerionAfsluttet
-
Seoul National University HospitalSamsung Medical Center; Chosun University HospitalAfsluttetRadiofrekvensablation | Mikrobølge-ablationKorea, Republikken
-
University of MinnesotaAfsluttet
-
University of SalernoAzienda Ospedaliera OO.RR. S. Giovanni di Dio e Ruggi D'AragonaRekruttering
-
Ahram Canadian UniversityRekruttering
-
University of MinnesotaRekruttering
-
Catharina Ziekenhuis EindhovenAfsluttet
-
China National Center for Cardiovascular DiseasesAktiv, ikke rekrutterende
-
Assistance Publique - Hôpitaux de ParisAfsluttetSeglcellesygdomFrankrig