Incidence of pNeumonia and Related ConseqUences in Nursing Home Residents

Completed

• Conditions: Pneumonia

• Registration Number: NCT03286790
• Lead Sponsor: University Hospital, Toulouse

Brief Summary

In the present proposal, we hypothesize that specifically targeting pneumonia events with preventive interventions in the French EHPAD (Etablissements d'Hébergement pour Personnes Agées Dépendantes) setting (thus, improving the health status and quality of life of patients) may simultaneously produce relevant reductions in the healthcare costs. In fact, although the number of pneumonia cases may be numerically limited, the consequences of each event are potentially catastrophic for both the patient and the healthcare system. Unfortunately, to date, information about the incidence and economical effects of pneumonia in the older population living in the French EHPAD are extremely scare. To adequately evaluate whether there is room to implement preventive interventions aimed at reducing the onset of pneumonia in a cost-effective fashion on a large scale, preliminary data from this specific population are needed. This first step is crucial towards the appropriate design and conduction of possible future large-scale intervention trials in the EHPAD setting.

Detailed Description

Not available

Study Timeline

• Study Start: 2012-05
• Primary Completion: 2016-05
• Study Completion: 2016-05
• Status Verified: 2017-09
• Study First Submitted: 2017-09-14
• Study First Submitted QC: 2017-09-14
• Last Update Submitted: 2017-09-14
• Study First Posted: 2017-09-18
• Last Update Posted: 2017-09-18

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 800

Inclusion Criteria

• Groups Iso-Resources (GIR) ranging between 5 (included) and 2 (included)
• Ability and willingness to participate to the study and to provide informed consent
• Agreement with the patient's physician about the enrolment to the study

Exclusion Criteria

• Refusal of the EHPAD to participate
• Patients with severe disability (GIR 1)
• Patients with no evidence of functional impairment (GIR 6)
• Patients living in the participating EHPAD for less than 30 days since the baseline study visit

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
healthcare costs	months 12	To compare the healthcare costs of participants experiencing a pneumonia event versus those who will not in a random sample of 800 older patients living in 30 EHPADs over a period of 12 month
Incidence of pneumonia	months 12	Estimate the incidence of pneumonia events in a sample of 800 older patients living in 30 EHPADs over a period of 12 months

Secondary Outcome Measures

Name	Time	Method
Physical Function	Months 12	To measure the physical function modifications experienced by a random sample of 800 EHPAD older patients according to the presence/absence of a pneumonia event occurred during a follow-up period of 12 months
Mortality risk	Months 12	To calculate the mortality risk in a random sample of 800 EHPAD older patients according to the presence/absence of a pneumonia event occurred during a follow-up period of 12 months

Trial Locations

Locations (1)

University Hospital Toulouse; 🇫🇷 Toulouse, France