Impact of a Dedicated Geriatric Sector on the Loss of Functional Autonomy at 1 Month for Patients Admitted to Emergencies and Non-hospitalised

Completed

• Conditions: Emergency Service, Hospital; Ambulatory Care; Health Services for the Aged
• Interventions: Other: Activities of Daily Living (ADL) questionnaire (The Katz index )

• Registration Number: NCT04970784
• Lead Sponsor: Hospices Civils de Lyon

Brief Summary

Several studies have shown that going to the emergency room is a risk factor for loss of independence in the elderly. It has been shown that the period following an emergency room visit without hospitalization is a period of vulnerability for the elderly.

The functional decline, or loss of functional autonomy, of the elderly is associated with an increase in institutionalization, mortality and costs to society.

Studies have highlighted the risk factors for functional decline in the elderly, such as pre-existing functional and cognitive decline, undernutrition, but no model of care has yet prevented the risk of loss of autonomy after a stay in the emergency room.

A full and early geriatric assessment could prevent functional decline after the emergency room visit.

The primary objective of the study is to assess the impact of a dedicated geriatric sector on the functional decline at 1 month of patients admitted to emergencies without hospitalization by comparing an intervention group (patient having benefited from the geriatric sector) and a group witness ("classic" emergency patient).

The secondary objective is to evaluate the impact of this sector on the number of falls at home as well as the readmission rate within 1 month of going to the emergency room.

Detailed Description

Not available

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study Start: 2020-06-15
• Primary Completion: 2020-10-21
• Study Completion: 2020-10-21
• Status Verified: 2021-07
• Study First Submitted: 2021-07-12
• Study First Submitted QC: 2021-07-12
• Last Update Submitted: 2021-07-12
• Study First Posted: 2021-07-21
• Last Update Posted: 2021-07-21

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 285

Inclusion Criteria

• Age greater than or equal to 75 years
• Emergency room consultation between 7:30 a.m. and 5:30 p.m.
• Relevant to the adult emergency department
• Return home after consultation

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Exclusion Criteria

• Age less than 75 years
• Arrival time between 5.30 p.m. and 7.30 a.m.
• Need to take care of unhooking
• Belonging to the short sector, versatile sector
• Patients hospitalized after consultation

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Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Patients cared for by the geriatric sector	Activities of Daily Living (ADL) questionnaire (The Katz index )	Patients admitted to emergencies, non-hospitalized and cared for by the geriatric sector of emergencies
Patients cared for by the adult sector	Activities of Daily Living (ADL) questionnaire (The Katz index )	Patients admitted to emergencies, non-hospitalized and cared for by the adult sector of emergencies (classical emergencies)

Primary Outcome Measures

Name	Time	Method
Change of functional decline at 1 month, measured by the Katz index, Activities of Daily Living (ADL)	At Baseline (admission to ermergencies) and 1 month	The Katz index, Activities of Daily Living (ADL) questionnaire, assess through 6 items (ranging from 0 to 1) the aptitude to execute daily life activities.

Trial Locations

Locations (1)

Centre Hospitalier Alpes Léman, service des urgences; 🇫🇷 Contamine-sur-Arve, France