Telemedicine and Nursing Home

Not Applicable

Completed

• Conditions: Multimorbidity; Elderly
• Interventions: Other: Telemedicine; Other: Usual Care

• Registration Number: NCT02816177
• Lead Sponsor: University Hospital, Limoges

Brief Summary

Telemedicine-based care provides remote health and social care to maintain people's autonomy and increase their quality of life. The rapidly aging population has come with a significant increase in the prevalence of chronic diseases and their effects, and thus the need for increased care and welfare.

This solutions give a new opportunity for diagnosis, treatment, education, and rehabilitation, and make it possible to monitor patients with a number of chronic diseases. It also reduces socioeconomic disparity with regard to access to care and gives equal chances to patients from urban and rural areas.

This a randomized trial of telemedicine versus usual care alone to reduce hospitalization and emergency hospital admissions for Nursing Home Residents .

After an initial assessment , each participant is monitored by teleconsultation on six occasions over 12 months. Patients with usual care have an initial and a 12 months assessments.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2016-06-24
• Study First Submitted QC: 2016-06-24
• Study First Posted: 2016-06-28
• Study Start: 2016-07-05
• Primary Completion: 2018-01-18
• Status Verified: 2019-01
• Study Completion: 2019-06
• Last Update Submitted: 2019-07-02
• Last Update Posted: 2019-07-05

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 428

Inclusion Criteria

• Elderly over 60 years

  • Resident in nursing homes
  • Resident with multiples chronic diseases with at least two comorbidities
  • Having given free and informed consent in writing and signed by himself and / or his legal representative

Exclusion Criteria

• Resident unaffiliated or not beneficiary of Social Security
• Resident with a life-threatening disease

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Telemedicine	Telemedicine	Usual care and telemedicine consultations during12 months.
Usual care alone	Usual Care	Usual care during12 months.
Telemedicine	Usual Care	Usual care and telemedicine consultations during12 months.

Primary Outcome Measures

Name	Time	Method
Efficacy	12 month	Proportion of patients who had an admission to the emergency or unscheduled hospitalization in health service or surgery

Secondary Outcome Measures

Name	Time	Method
MAST	12 months	Cost / effectiveness of telemedicine based on the MAST model (Model of Assessment of Telemedicine ).

Trial Locations

Locations (1)

Service de Gériatrie; 🇫🇷 Limoges, France