Robustness Predictive Factors in People Aged Over 75 Years After Going to the Emergency Room (ROB-U) (ROB-U)
5. januar 2022 oppdatert av: Lille Catholic University
Study of the Robustness Predictive Factors in People Aged Over 75 Years After Going to the Emergency Room
After emergency room visits, the elderly patients can increase their dependence and functional decline.
In this context the goal of this study is to demonstrate that there are robustness predictive factors after visit to the emergency room.
Studieoversikt
Status
Fullført
Forhold
Detaljert beskrivelse
The emergency department is one of the main access routes to the hospital for elderly patients.
Older age is often associated with an increase risk of longer stay in the emergency room with a high subsequent risk of hospital re-admission. One of the essential care objectives when treating these patients is to maintain the autonomy to avoid any dependence in order to keep the quality of life, and limit the time of hospitalization.
Emergency room visits and hospitalizations are too often considered as a source of autonomy loss aggravation in the elderly. Many studies have demonstrated the mortality predictive factors existence, functional decline, or re-hospitalization of the elderly after an emergency room visit or after hospitalization.
No study until now has investigated the existence of factors directly predictive of robustness. Then the goal of this study is to demonstrate that there are robustness predictive factors after going to the emergency room.
Studietype
Observasjonsmessig
Registrering (Faktiske)
110
Kontakter og plasseringer
Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.
Studiesteder
-
-
Haut-de-France
-
Lille, Haut-de-France, Frankrike, 59000
- Saint-Vincent Hospital
-
-
Deltakelseskriterier
Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
75 år og eldre (Eldre voksen)
Tar imot friske frivillige
Nei
Kjønn som er kvalifisert for studier
Alle
Prøvetakingsmetode
Ikke-sannsynlighetsprøve
Studiepopulasjon
The study population is composed of patients aged more than 75 years old and who have eligibility criteria.
Beskrivelse
Inclusion Criteria:
- Patients admitted to the emergency room
- Patients aged ≥ 75 years old
- Patients without cognitive disorders or vigilance disorders
- Patients living at home
- Patients able to give its non-opposition
Non inclusion Criteria:
- Patients admitted to the hospital in the last 3 months
- Patients refusing to participate in the study
Exclusion Criteria:
- Patients whose stay is < 14h or > 48h
- Patients who die during hospitalization
- Patient not hospitalized
- Patient not returning home after discharge from hospital
Studieplan
Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.
Hvordan er studiet utformet?
Designdetaljer
Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Identification of predictive factors of robustness : Autonomy level at home (ADL score)
Tidsramme: 3 months
|
ADL self-performance coding ranges from 0 (independent) to 4 (total dependence).
|
3 months
|
|
Identification of predictive factors of robustness by a questionnaire (help at home)
Tidsramme: 3 months
|
Need of help at home such as : toilet, breakfast, lunch, dinner (yes or not)
|
3 months
|
|
Identification of predictive factors of robustness by a questionnaire (family visits)
Tidsramme: 3 months
|
Number of family visits
|
3 months
|
|
Identification of predictive factors of robustness by a questionnaire (appetit)
Tidsramme: 3 months
|
loss of appetite (yes or not)
|
3 months
|
|
Identification of predictive factors of robustness (heart rate)
Tidsramme: 3 months
|
Heart rate during hospitalization (minimum and maximum values)
|
3 months
|
|
Identification of predictive factors of robustness (Modified Triage Risk Screening Tool (TRST)) score
Tidsramme: 3 months
|
The TRST score is a tool to predict repeat emergency department visits and hospitalizations in older patients discharged from the emergency department; This tool evaluates 5 dimensions : cognitive disorders presence, walking disorders, polymedication, hospitalization antecedents and functional assessment (loss of autonomy).
Every dimension is worth 1 point if the patient presents the disorder.
The final maximum score is 5 points.
|
3 months
|
|
Identification of predictive factors of robustness : BMI (Body Mass Index)
Tidsramme: 3 months
|
Body mass index
|
3 months
|
|
Albuminemia
Tidsramme: 3 months
|
Rate of Albuminemia
|
3 months
|
|
Identification of predictive factors of robustness : Lifestyle
Tidsramme: 3 months
|
Lifestyle: person living alone (yes or not)
|
3 months
|
|
Sleep assessment using a Visual Analog Scale (VAS).
Tidsramme: 3 months
|
This scale allows patients to assess their fatigue.
The patients locate their fatigue intensity on a 100-millimeters horizontal line.
Using a ruler, the score is determined by measuring the distance (mm) on the 10-cm line between the "no pain" anchor and the patient's mark, providing a range of scores from 0-100.
A higher score indicates greater pain intensity.
|
3 months
|
Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Rate of re-hospitalization
Tidsramme: 3 months
|
Only direct re-hospitalizations in emergency rooms and geriatric short stay will be counted
|
3 months
|
|
Rate of patient survival
Tidsramme: 3 months
|
Rate of patient survival
|
3 months
|
|
Rate of lack of Institutionalization
Tidsramme: 3 months
|
Rate of lack of Institutionalization
|
3 months
|
Samarbeidspartnere og etterforskere
Det er her du vil finne personer og organisasjoner som er involvert i denne studien.
Sponsor
Etterforskere
- Hovedetterforsker: Jean Bouquillon, Hôpital Saint-Vincent de Paul
Studierekorddatoer
Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.
Studer hoveddatoer
Studiestart (Faktiske)
10. mars 2021
Primær fullføring (Faktiske)
10. desember 2021
Studiet fullført (Faktiske)
10. desember 2021
Datoer for studieregistrering
Først innsendt
16. desember 2020
Først innsendt som oppfylte QC-kriteriene
21. desember 2020
Først lagt ut (Faktiske)
24. desember 2020
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
6. januar 2022
Siste oppdatering sendt inn som oppfylte QC-kriteriene
5. januar 2022
Sist bekreftet
1. januar 2022
Mer informasjon
Begreper knyttet til denne studien
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
- RC-P0099
Plan for individuelle deltakerdata (IPD)
Planlegger du å dele individuelle deltakerdata (IPD)?
NEI
Legemiddel- og utstyrsinformasjon, studiedokumenter
Studerer et amerikansk FDA-regulert medikamentprodukt
Nei
Studerer et amerikansk FDA-regulert enhetsprodukt
Nei
Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .