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- Ensaio Clínico NCT04683380
Robustness Predictive Factors in People Aged Over 75 Years After Going to the Emergency Room (ROB-U) (ROB-U)
Study of the Robustness Predictive Factors in People Aged Over 75 Years After Going to the Emergency Room
Visão geral do estudo
Status
Condições
Descrição detalhada
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.
Tipo de estudo
Inscrição (Real)
Contactos e Locais
Locais de estudo
-
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Haut-de-France
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Lille, Haut-de-France, França, 59000
- Saint-Vincent Hospital
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Critérios de participação
Critérios de elegibilidade
Idades elegíveis para estudo
Aceita Voluntários Saudáveis
Gêneros Elegíveis para o Estudo
Método de amostragem
População do estudo
Descrição
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
Plano de estudo
Como o estudo é projetado?
Detalhes do projeto
O que o estudo está medindo?
Medidas de resultados primários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
|
Identification of predictive factors of robustness : Autonomy level at home (ADL score)
Prazo: 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)
Prazo: 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)
Prazo: 3 months
|
Number of family visits
|
3 months
|
|
Identification of predictive factors of robustness by a questionnaire (appetit)
Prazo: 3 months
|
loss of appetite (yes or not)
|
3 months
|
|
Identification of predictive factors of robustness (heart rate)
Prazo: 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
Prazo: 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)
Prazo: 3 months
|
Body mass index
|
3 months
|
|
Albuminemia
Prazo: 3 months
|
Rate of Albuminemia
|
3 months
|
|
Identification of predictive factors of robustness : Lifestyle
Prazo: 3 months
|
Lifestyle: person living alone (yes or not)
|
3 months
|
|
Sleep assessment using a Visual Analog Scale (VAS).
Prazo: 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
|
Medidas de resultados secundários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
|
Rate of re-hospitalization
Prazo: 3 months
|
Only direct re-hospitalizations in emergency rooms and geriatric short stay will be counted
|
3 months
|
|
Rate of patient survival
Prazo: 3 months
|
Rate of patient survival
|
3 months
|
|
Rate of lack of Institutionalization
Prazo: 3 months
|
Rate of lack of Institutionalization
|
3 months
|
Colaboradores e Investigadores
Patrocinador
Investigadores
- Investigador principal: Jean Bouquillon, Hopital Saint-Vincent de Paul
Datas de registro do estudo
Datas Principais do Estudo
Início do estudo (Real)
Conclusão Primária (Real)
Conclusão do estudo (Real)
Datas de inscrição no estudo
Enviado pela primeira vez
Enviado pela primeira vez que atendeu aos critérios de CQ
Primeira postagem (Real)
Atualizações de registro de estudo
Última Atualização Postada (Real)
Última atualização enviada que atendeu aos critérios de controle de qualidade
Última verificação
Mais Informações
Termos relacionados a este estudo
Palavras-chave
Termos MeSH relevantes adicionais
Outros números de identificação do estudo
- RC-P0099
Plano para dados de participantes individuais (IPD)
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