A Descriptive Multicenter Investigation of Geriatrics Hotlines : Description of the Health Care Pathways and Conditions of Subjects Aged 75 and Over
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 2,000
- Locations
- 1
- Primary Endpoint
- the mean duration of hospitalization in short-stay geriatric care
Study Overview
Brief Summary
In France, for general practitioners, the Emergency Hospitality Services (UAS) are the fastest and usual way to respond to the complexity of managing elderly polypathological patients. In 2013, the Regional Health Agencies proposed the creation of direct telephone assistance managed by geriatric doctors (geriatric hotlines) to promote interactions city - hospital. The aim of these hotlines is to improve the care pathways and health status of seniors. The objective of this study is to describe the care trajectories and health status of subjects over 75 years of age hospitalized in a short-term geriatric stay on the guidance of a Geriatric Hotline.
The study will take place over 24 months and in 7 French University Hospitallers Centres. The study will include all patients aged 75 and over, living at home or in an institution, who are hospitalized in a short-term geriatric ward on the guidance of a Hotline.
The results will show whether a management by the geriatric hotline is the most suitable for seniors, with an average length of stay probably shorter.
Detailed Description
This is a multicenter descriptive study conducted in seven French investigating centers (including university centers) with sub-group analysis. Participating establishments will all be voluntary. In order to participate to the study, an establishment must have a specific telephone line for doctor-doctor communications. Only calls originating from healthcare professionals are to be taken into account.
The study will last for 24 months. Study population and eligibility The study population will be constituted of people aged 75 and over, living in their own home or in a care facility (including independent-living facilities), hospitalized in short-stay geriatric care referred by the hotline in one of the investigating centers, and who are fully aware of the study and their rights regarding their participation. The first questionnaire will be filled out via the hotline by the geriatric specialist answering the call. A second questionnaire will then be filled out during the patient's hospitalization by the treating geriatric specialist
Recruitment:
All people aged 75 years and over hospitalized in short-stay geriatric care via a hotline.
Inclusion:
Study Design
- Study Type
- Observational
- Observational Model
- Case Only
- Time Perspective
- Prospective
Eligibility Criteria
- Ages
- 75 Years to — (Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Age over 75
- •Male/Female
- •Living at home or in an institution (independent residence included)
- •Being hospitalized in a short geriatric stay
Exclusion Criteria
- •Patients under 75 years
- •Refusal to participate in study
Outcomes
Primary Outcomes
the mean duration of hospitalization in short-stay geriatric care
Time Frame: through study completion, an average of 2 years
the mean duration of hospitalization in short-stay geriatric care
Secondary Outcomes
- Assessment of health status using the Charlson comorbidity index for elderly patients hospitalized in short-stay geriatric wards(through study completion, an average of 2 years)
- Describing and comparing how the different hotlines across France function(through study completion, an average of 2 years)
Investigators
Régis Gonthier
Profesor
Centre Hospitalier Universitaire de Saint Etienne