Physiotherapist in the Emergency Department

Completed

• Conditions: Emergencies; Fall
• Interventions: Other: Physiotherapy in the emergency department after a fall

• Registration Number: NCT05753319
• Lead Sponsor: Nantes University Hospital

Brief Summary

This study aims to evaluate the impact of assessment and early physiotherapy management on the care pathway of the elderly person who falls, their length of stay in hospital and their fall recurrence rate.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2023-02-10
• Study First Submitted QC: 2023-02-21
• Study First Posted: 2023-03-03
• Study Start: 2023-04-06
• Primary Completion: 2024-03-14
• Study Completion: 2024-03-14
• Status Verified: 2024-05
• Last Update Submitted: 2024-05-21
• Last Update Posted: 2024-05-22

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 155

Inclusion Criteria

1. Patients aged 75 and over
2. Patients admitted to emergency for falls.
3. Clinically stable patient who may benefit from a gait assessment or fall risk assessment
4. Patients able to understand the protocol and not verbally object to participation.

Exclusion Criteria

1. Patients with limb fractures requiring surgical treatment
2. Patients under guardianship or curatorship.
3. Patients already included in an interventional research protocol.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Physiotherapy group	Physiotherapy in the emergency department after a fall	Intervention group with assessment and early physiotherapy

Primary Outcome Measures

Name	Time	Method
Patient orientation (return home, short-term hospitalization unit, hospitalization) at discharge from the emergency department	up to 48 hours	The orientation of the patient on discharge from the emergency services, according to the three defined pathways (return home, short-term hospitalization unit, hospitalization).

Secondary Outcome Measures

Name	Time	Method
Length of stay in emergency departments and in the short stay hospital unit	up to 48 hours	Calculation of the duration in hours by recording the dates and times of admission and discharge from the service.
Satisfaction of doctors in emergency services	0 day	A satisfaction questionnaire will be sent to all doctors who participated in the study
Emergency discharge referral before and after assessment by the physical therapist.	up to 48 hours	For the "Physiotherapy group" : Description of changes in physician orientation decision (return home, acute care unit, hospitalization) of patients, before/after the physical therapist assessment
Total duration of hospitalization for each stay, all services combined	1 week	Calculation of the duration in hours by recording the dates and times of admission to the emergency services and final discharge from the hospital.
Number of recurrence of emergency admission for the same reason (fall)	up to 9 days	Recurrence of a fall within seven days of returning home

Trial Locations

Locations (1)

University Hospital of Nantes; 🇫🇷 Nantes, Loire-Atlantique, France