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
研究概览
详细说明
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.
研究类型
注册 (实际的)
联系人和位置
学习地点
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Haut-de-France
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Lille、Haut-de-France、法国、59000
- Saint-Vincent Hospital
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
取样方法
研究人群
描述
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
学习计划
研究是如何设计的？
设计细节
研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Identification of predictive factors of robustness : Autonomy level at home (ADL score)
大体时间：3 months
|
ADL self-performance coding ranges from 0 (independent) to 4 (total dependence).
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3 months
|
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Identification of predictive factors of robustness by a questionnaire (help at home)
大体时间：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)
大体时间：3 months
|
Number of family visits
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3 months
|
|
Identification of predictive factors of robustness by a questionnaire (appetit)
大体时间：3 months
|
loss of appetite (yes or not)
|
3 months
|
|
Identification of predictive factors of robustness (heart rate)
大体时间：3 months
|
Heart rate during hospitalization (minimum and maximum values)
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3 months
|
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Identification of predictive factors of robustness (Modified Triage Risk Screening Tool (TRST)) score
大体时间：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.
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3 months
|
|
Identification of predictive factors of robustness : BMI (Body Mass Index)
大体时间：3 months
|
Body mass index
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3 months
|
|
Albuminemia
大体时间：3 months
|
Rate of Albuminemia
|
3 months
|
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Identification of predictive factors of robustness : Lifestyle
大体时间：3 months
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Lifestyle: person living alone (yes or not)
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3 months
|
|
Sleep assessment using a Visual Analog Scale (VAS).
大体时间：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
|
次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Rate of re-hospitalization
大体时间：3 months
|
Only direct re-hospitalizations in emergency rooms and geriatric short stay will be counted
|
3 months
|
|
Rate of patient survival
大体时间：3 months
|
Rate of patient survival
|
3 months
|
|
Rate of lack of Institutionalization
大体时间：3 months
|
Rate of lack of Institutionalization
|
3 months
|
合作者和调查者
调查人员
- 首席研究员：Jean Bouquillon、Hôpital Saint-Vincent de Paul
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
与本研究相关的术语
其他研究编号
- RC-P0099
计划个人参与者数据 (IPD)
计划共享个人参与者数据 (IPD)？
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