Evolution of the Health Status of Caregivers After the Admission of Their Elderly Relative to the Emergency Department

Recruiting

• Conditions: Patient Without Cognitive Disorders; Caregiver-patient Dyeds

• Registration Number: NCT05561101
• Lead Sponsor: Gérond'if

Brief Summary

The main objective of this non-interventional, propective and multipercentric study is to Assess the evolution of caregiver burden 1 month after their elderly relative's Emergency Department (ED) admission

Detailed Description

The aim purpose of this non-interventional, prospertive study is to compare the evolution of caregiver burden between inclusion and 1month after their elderly relative's ED admission.

Inclusion of caregivers - patients dyads, meeting inclusion criteria and agreeing to participate, is carried out by geriatric mobile teams (EMG) working within Emergengy Department.

At inclusion the following data will be collected:

For the patient :

* Presence of neurocognitive disorders

* Sociodemographic data (age, gender, lifestyle)

* Patient comorbidities

* Autonomy and independence

* Risk of early readmission and loss of autonomy

For the caregiver:

* Socio-demographic data

* The caregiver's burden

* Quality of life

* Resilience capacity will be measured

The follow-up of the caregiver is carried out 1 month after the passage of his elderly relative to Emergency Department (at inclusion). The levels of burden and quality of life as well as the aids set up at home will be collected

Study Timeline

• Study Start: 2022-09-20
• Study First Submitted: 2022-09-27
• Study First Submitted QC: 2022-09-27
• Study First Posted: 2022-09-30
• Status Verified: 2023-02
• Last Update Submitted: 2023-02-28
• Last Update Posted: 2023-03-01
• Primary Completion: 2024-03-20
• Study Completion: 2024-04-20

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 125

Inclusion Criteria

• Adult caregivers - patients aged 75 and over dyads consulting in Emergency Department and living at home
• Patients admitted to the emergency department for less than 48 hours for which a return home is decided
• Non-verbal opposition of the patient and caregiver to the collection of their data.

Exclusion Criteria

• Hospitalized patient after emergency
• Patient admitted to emergency for life-saving emergency
• Patient living Nursing Home (EHPAD)
• Language barrier
• Absence of identified caregivers
• Severe cognitive impairment as per Diagnostic and Statistical Manual of Mental Disorders (DSM-5) criteria and absence relative at time of inclusion
• Patients under guardianship
• Oral opposition from the patient and caregiver to their data collection.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Measure of caregiver burden by the 7-item Zarit burden scale (Mini-zarit)	1 month

Secondary Outcome Measures

Name	Time	Method
Assessment of the degree of patient dependence according "Index of Independence in Activities of Daily Living" KATZ scale	At inclusion
Assessment of quality of life of cargivers according SF-12 score	1 month
Assessment of patient's level of dependence through an appreciation of instrumental activities of daily living according Lawton scale	At inclusion
Assessment of cognitive state of elderly patients according Abbreviated Mental Test 4 score (AMT-4)	At inclusion	If score \< 4 must search for neurocognitive disorders
Assessment of commorbidity risk according Charlson score	At inclusion
Measure of caregiver satisfaction according Likert scale	1 month
Assessment of complications risks according Triage Risk Screening Tool score (TRST)	At inclusion
Measure of resilience capacities acoording Brief Resilience Scale (BRS)	At inclusion

Trial Locations

Locations (1)

Emergency Department, Bichat Hospital; 🇫🇷 Paris, Ile-de-France, France