Provision of a Mobile Geriatric Team Extra-Community Hospital

Completed

• Conditions: Mobil Unit; Geriatric Disorder
• Interventions: Other: home visit; Other: telephone management

• Registration Number: NCT01449968
• Lead Sponsor: University Hospital, Grenoble

Brief Summary

The purpose of this study is to demonstrate the effectiveness of the mobile unit to reduce the geriatric hospital inappropriate (especially for emergencies) to 1 month.

The primary endpoint: survival without hospitalization through the emergency inappropriate to 1 month.

Detailed Description

The purpose of this study is to assess the effectiveness of the Mobile Geriatrics on the management of complex situations in retirement homes and in ambulatory care of frail elderly patients, reported by the generalist doctor, in terms of improving the conditions of use technical support hospital follow-up recommendations given by the mobile team and their impact on outcomes of care.

Study Timeline

• Study Start: 2011-06
• Study First Submitted: 2011-07-07
• Study First Submitted QC: 2011-10-07
• Study First Posted: 2011-10-10
• Primary Completion: 2013-05
• Study Completion: 2013-11
• Status Verified: 2014-04
• Last Update Submitted: 2014-04-25
• Last Update Posted: 2014-04-28

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 334

Inclusion Criteria

• Patient aged 75 and over living in complex medical or psycho-social complex or at risk of hospitalization
• Patient affiliated to social security or beneficiary of such a regime
• Patient available for follow-up to 6 months with a caregiver or accompanying social duly appointed.

Exclusion Criteria

• Patient residing outside intervention sector
• Life-threatening emergency (ambulance)
• Lack of complexity of the situation, supported by routine care

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
home visit of UMG	home visit	home visit with evaluation and management of the situation (control over in-home telephone)
telephone management	telephone management	geriatric mobile unit provides a telephone advice only to the general practitioner with guidance and recommendations (call control)

Primary Outcome Measures

Name	Time	Method
effectiveness of the visit of the mobile unit to reduce the geriatric hospital inappropriate (especially for emergencies) to 1 month	1 month	inappropriate survival without hospitalization through the emergency room at 1 month

Secondary Outcome Measures

Name	Time	Method
needs and difficulties of attending physicians in the care of frail elderly patients with complex medical and social situation before and after the establishment of mobile units for geriatrics.	1 year	Questionnaire to GPs in the health sector concerned
cost effectiveness of two types of visit of the mobile unit of Geriatrics (telephone regulation and control over travel home phone)	6 months	Cost of hospitalization.
survival without hospitalization inappropriate, mortality, changes in functional status and cognitive health care consumption up to 6 months of surgery	6 months	Unplanned hospitalization rates obtained by telephone follow-up at 3 and 6 months
effectiveness of the visit of the mobile geriatric home versus telephone follow-up of mobile geriatric unit	6 months	Analysis of sub-groups
follow-up rate of the proposals of UMG ext (adherence to recommendations and feasibility) and analyze the reasons for not monitoring these proposals one month	1 month	follow-up of recommendations made by the mobile unit of Geriatrics

Trial Locations

Locations (3)

CH Annecy; 🇫🇷 Annecy, France

University Hospital of Grenoble; 🇫🇷 Grenoble, France

CH Roanne; 🇫🇷 Roanne, France