Descriptive Study of Emergency Room Visits From Nursing Home Residents for Behavioral Problems at the Nancy University Hospital: Place of the Advanced Practice Nurse

Completed

• Conditions: Behavioral Disorders
• Interventions: Other: Observation

• Registration Number: NCT04846608
• Lead Sponsor: Central Hospital, Nancy, France

Brief Summary

The demographic evolution of old age is a reality. After the age of 75, 2 out of 3 people living in institutions have neurocognitive disorders. Behavioural disorders such as physical aggression, agitation, hallucinations, sleep disorders, generate difficulties in the management of these patients and lead to unscheduled emergency hospitalizations. Non-pharmacological management of behavioral disorders is recommended as a first-line treatment because of its low risk and potential improvement (Haute Autorité de Santé 2009). However, this management is not simple and obvious to put in place, especially since not all elderly people with Behavioural disorders are in adapted structures. The advanced practice nurse specializing in geriatrics has a place in this care pathway. Because of her skills, she could "organize multi-professional care, set up analyses of practices within the nursing homes, train caregivers appropriately, and limit hospitalizations due to behavioral problems" (SALIEGE L. 2020). Advanced practice nursing is in its infancy in France, and everything remains to be done (International Council of Nurses- directive). The aim of the study is to identify the number of emergency room visits by people aged 75 and over for behavioral problems in nursing home during a 6 month-period.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2021-03-26
• Study First Submitted QC: 2021-04-13
• Study Start: 2021-04-14
• Study First Posted: 2021-04-15
• Primary Completion: 2021-06-30
• Study Completion: 2021-06-30
• Status Verified: 2021-11
• Last Update Submitted: 2021-11-17
• Last Update Posted: 2021-11-18

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 4000

Inclusion Criteria

• Person who has received full information on the organization of the research and has not objected to the use of this data

• Elderly men and women 75 years of age and older at the time of the emergency room visit

• Having for main residence one of the nursing homes of the Grand Nancy

• Administratively present in the emergency department

• Having been admitted to the emergency room for the following reasons:

  • Behavioural problems
  • Agitation
  • Dementia
  • Disorientation
  • Delirium

Exclusion Criteria

• People under 75 years of age
• Residing at home or in a senior residence or in a nursing home outside Grand Nancy
• Referred by an inpatient department (rehabilitation department)
• Other reasons for emergency room use such as "depression" and "apathy

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Nursing home residents with behavioural problems	Observation	Nursing home residents from Grand Nancy aged 75 and over referred to emergency departments for disorientation, agitation, dementia or behavioural problems during the study period
Nursing home residents with other problems	Observation	Nursing home residents from Grand Nancy aged 75 and over referred to emergency departments for other reasons

Primary Outcome Measures

Name	Time	Method
Number of passage of people aged 75 and over referred to emergency departments by nursing homes for disorientation, agitation, dementia or behavioural problems during the study period	through study completion, an average of 6 months	Number of passage of people aged 75 and over referred to emergency departments by nursing homes for disorientation, agitation, dementia or behavioural problems during the study period

Secondary Outcome Measures

Name	Time	Method
Number of iterative passage of people aged 75 and over referred to emergency departments by nursing homes for disorientation, agitation, dementia or behavioural problems during the study period	through study completion, an average of 6 months
Age of the patients	through study completion, an average of 6 months
Presence of previous medical cognitive disorder	through study completion, an average of 6 months
Length of stay at emergency room	through study completion, an average of 6 months
Referral after visit at emergency room	through study completion, an average of 6 months
Gender of the patients	through study completion, an average of 6 months
Name of nursing home of origin	through study completion, an average of 6 months
Presence of intervention of geriatric mobile team	through study completion, an average of 6 months

Trial Locations

Locations (1)

CHRU de NANCY; 🇫🇷 Nancy, France