Evaluation of Medical and Social Care for Elderly Patients, Between Hospital and Home: TEMPORARY ACCOMMODATION Out of Hospitalization by Nursing Home and Long-Term Care Units in Ile-de-France Region

Recruiting

• Conditions: Social Care; Medical Care; Elderly Patients

• Registration Number: NCT06677645
• Lead Sponsor: Gérond'if

Brief Summary

Prospective, observational, non-interventional, comparative, multicenter RIPH3 study to investigate the impact of HTSH on length of hospital stay in referring services.

Detailed Description

This is a multi-center study involving many hospital departments temporary accommodation at the end of hospitalization in several Nursing home/long term care units in Ile de France region. The temporary accommodation program was designed for elderly people living at home to find an accommodation solution in nursing home to meet a short-term need. Temporary accommodation beds are deployed and perpetuated in the Île-de-France region by the Regional Health Agency, physically grouped together in establishments within units with dedicated staff. The resources allocated to these beds have been increased. The aim of the study is to demonstrate the efficiency of the HTSH circuit, for elderly patients leaving hospital, in their medical and social care and the decision or not to return home. This project is supported by Regional Health Agency (ARS-IDF).

Study Timeline

• Study First Submitted: 2024-10-23
• Study First Submitted QC: 2024-11-05
• Study First Posted: 2024-11-07
• Study Start: 2024-11-20
• Status Verified: 2025-06
• Last Update Submitted: 2025-06-10
• Last Update Posted: 2025-06-13
• Primary Completion: 2026-11-20
• Study Completion: 2027-11-20

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 258

Inclusion Criteria

1. Patient selection criteria

   • Patient male or female at least 60 years of age, as initially defined with the Regional Health Agency, discharged from hospital,
   • Oral expression of non opposition to participation in the study, documented in the medical record by the physician,
   • Presenting a defined and feasible plan for returning home,
   • Whose social/medical situation (stabilized) does not allow an immediate return home after hospitalization.

2. Caregiver selection criteria

   • Person with an unpaid caregiving activity for their relative in HTSH,
   • Person verbally expressing their non-opposition to participating in the study, and documented in the medical record of the patient they are helping,
   • A person who is able to understand the study questionnaires and evaluations, and is able to answer them without the help of a third party.

3. Professional selection criteria

   • Salaried professional, nursing or not, regularly and directly involved in the HTSH circuit, whether in hospital or in nursing home / long term care units, for at least 6 months,
   • Oral expression of non opposition to participation in the study, documented by the establishment.

• Non-inclusion Criteria:

  • Be already included in another clinical study,
  • Benefit from a legal protection measure or be unable to express their consent, in accordance with article L1121-8 of the French Public Health Code.

Exclusion Criteria

Not provided

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Study to investigate the impact of HTSH on length of hospital stay in referring services	24 months	The main assessment criterion is based on the average length of stay observed at the end of the study, compared with that of the previous two years, 2021 and 2022, in the referring services.

Secondary Outcome Measures

Name	Time	Method
Analysis of pathways and plans for returning home	24 months	Evaluation criteria: Calculation of the proportion of patients in the life project on admission to nursing home / long term care units and the return home at the end of the stay.
Analysis of HTSH patient profiles a) Proportion of eligible patients and their comorbidities b) Social profile + main reason for hospitalization of patients admitted to HTSH	24 months	Evaluation criteria: Ratio of hospital ward activity data to pre-screening data collected during the study.
Analysis of discharges and patient outcomes	24 months	Proportion of patients remaining at home in the medium term Patients' functional outcome after the trial
Quality of life and caregiver benefit analysis	24 months	Quality of life assessment

Trial Locations

Locations (10)

CHU Bicêtre; 🇫🇷 Paris, Ile de France, France

Résidence ZEMGOR; 🇫🇷 Cormeilles en parisis, France

EHPAD Pierre TABANOU; 🇫🇷 L'Haÿ-les-Roses, France

Groupe Hospitalier Sud Ile de France (GHSIF); 🇫🇷 Melun, France

GHU Lariboisière; 🇫🇷 Paris, France

Broca Hospital; 🇫🇷 Paris, France

USDL Vaugirard, APHP; 🇫🇷 Paris, France

Centre Hospitalier de Rambouillet; 🇫🇷 Rambouillet, France

Centre Hospitalier de Versailles; 🇫🇷 Versailles, France

Hopital Paul Brousse; 🇫🇷 Villejuif, France