Evaluation Program of the Benefit of the Coordination of the Course of the Elderly Patient in Health Establishment - Pilot Study.

• Conditions: Elderly Patients in Complex Situations
• Interventions: Other: Coordinator; Other: Classic plan

• Registration Number: NCT02348892
• Lead Sponsor: Nantes University Hospital

Brief Summary

The large share of chronic diseases correlated with an aging population calls to develop necessary coordination between the hospital and non-hospital (professional of the city, home ...) to create new complementarities.

Since July 2013, the Nantes University Hospital experiences the establishment of a coordinator route patient in Gerontology. The evaluation program of the benefit of coordinating the course in elderly patients in health establishment (PROCOPES) must allow to prove the efficiency of the intervention of a coordinator route patient, following elderly patients in complex situations, both within the hospital and outside the hospital (home, nursing home,...). The objective of PROCOPES is to show the added value of an innovative position that can make the link between the hospital and the city on deemed complex situations.The pilot study results present a strong interest for health care settings, nursing home and in the world of research. It will also permit to have preliminary data for bigest studies.

Detailed Description

Not available

Study Timeline

• Study Start: 2014-12
• Status Verified: 2015-01
• Study First Submitted: 2015-01-16
• Study First Submitted QC: 2015-01-22
• Last Update Submitted: 2015-01-22
• Study First Posted: 2015-01-28
• Last Update Posted: 2015-01-28
• Primary Completion: 2016-02
• Study Completion: 2016-02

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 100

Inclusion Criteria

• Patient of 70 and more years old
• Patient living on Nantes
• Hospitalized in Nantes UH
• Patient whose the hospitalization is not relevant at the time of the request of trajectory case manager
• Patient whose the situation is complex (without solution at the time of the request)
• Patient (or legal representative) having given his assent of participation

Exclusion Criteria

• Patient (or legal representative) refusing to participate in the protocol
• Patient whose follow-up is impossible (ex: programmed move, life expectation)

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
With coordinator	Coordinator	Elderly patients, in complex situation, taken care by coordinator
Without coordinator	Classic plan	Elderly patients, in complex situation, taken care by the classic plan

Primary Outcome Measures

Name	Time	Method
Cost-utility analysis (CUA)	6 months	A differential cost-utility ratio will be used to compare both interventions. The evaluation of costs will take into account direct health care insurance cost, hospital costs and patient cost (according to the french health care insurance system). The evaluation of utility will be based on the evaluation of patient's quality of life, measured by EuroQol EQ-5D.

Trial Locations

Locations (1)

Nantes UH; 🇫🇷 Nantes, France