Evaluation of a Prototype for an Innovative Room for the Elderly

Not Applicable

Not yet recruiting

• Conditions: Elderly Inpatients
• Interventions: Behavioral: Hospi'Senior; Behavioral: Conventional room

• Registration Number: NCT06098534
• Lead Sponsor: University Hospital, Angers

Brief Summary

The Groupement de Coopération Sanitaire des Hôpitaux Universitaires du Grand Ouest (GCS HUGO) (health cooperation group for university hospitals in the west of France), is proposing to improve the quality of geriatric care by modernizing hospital rooms. The GCS HUGO has embarked on a project to co-design a hospital room adapted for the elderly, called "Hospi'Senior", with the help of the "Dépendance et Grand âge" (Dependency and Old Age) steering committee, made up of experts from HUGO's establishments and experts from several companies.

Detailed Description

The main objective is to evaluate the effect of hospitalization in a Hospi'Senior room on the length of stay of elderly people compared with hospitalization in a conventional room for a similar admission reason.

The secondary objectives are to evaluate the effect of hospitalization in a Hospi'Senior room for elderly people, compared with hospitalization in a conventional room for a similar admission reason, on :

2) Changes in functional abilities during the hospital stay and in the 30 days following discharge from the short-stay geriatric unit 3) Occurrence of behavioral disorders 4) Occurrence of falls during the hospital stay and in the 30 days following discharge from the short-stay geriatric unit 5) Occurrence and/or worsening of stage bedsores ≥ 2 during the hospital stay as classified by the National Pressure Ulcer Advisory Panel (NPUAP) 6) Occurrence of early rehospitalization

Study Timeline

• Status Verified: 2023-10
• Study Start: 2023-10
• Study First Submitted: 2023-10-11
• Study First Submitted QC: 2023-10-20
• Last Update Submitted: 2023-10-20
• Study First Posted: 2023-10-24
• Last Update Posted: 2023-10-24
• Primary Completion: 2025-10
• Study Completion: 2026-01

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 200

Inclusion Criteria

• Age ≥ 75 years
• Admission in a short-stay geriatric department following initial emergency care department
• Hospitalization in single room: Hospi'Senior or conventional
• Affiliation to a social security scheme
• Informed consent to participate in the study from the patient or his/her representative (tutor/curator if applicable, or in order of priority a trusted person, the family or a person with whom the person concerned has a close and stable relationship)

Exclusion Criteria

• Contraindication to study participation at the discretion of the medical team
• Hospitalization for more than 3 days (>3 days) in the short-stay geriatric unit
• Hospitalization in a double room
• Planned hospitalization
• Poor understanding of the French language
• Patient under safeguard of justice

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
"Hospi'Senior" group	Hospi'Senior	Patients admitted to the Hospi'Senior room benefit from the innovative technologies available in this room. Patients benefit from standard care throughout their hospital stay.
"Conventional room" group	Conventional room	Patients admitted to a conventional room receive the standard care throughout their hospital stay.

Primary Outcome Measures

Name	Time	Method
Length of stay in the short-stay geriatric unit	This outcome is assessed at the end of the geriatric unit stay (up to 2 months)	The length of stay is measured in days

Secondary Outcome Measures

Name	Time	Method
Changes in functional capabilities	This outcome is assessed at inclusion, on discharge (up to 2 months) and within 30 days of discharge from the short-stay geriatric unit	Functional capabilities are assessed with Activities of Daily Living (ADL) score.; ADL is an autonomy assessment grid (from 0 to 6) for basic activities of daily living. The lower the score, the more dependent the patient is.
Occurrence of behavioral disorders	This outcome is assessed at inclusion and on discharge (up to 2 months)	Behavioral disorders are assessed with Neuropsychiatric Inventory-nursing home version (NPI-NH) score.; For each scale domain, higher scores indicate greater neuropsychiatric symptomatology (range from 0 to 12/12).
Occurrence of falls	This outcome is assessed on discharge (up to 2 months) and within 30 days of discharge from the short-stay geriatric unit	Number of falls observed during hospital stay and within 30 days of discharge from the short-stay geriatric unit
Occurrence and/or worsening of stage bedsores ≥ 2	This outcome is assessed on discharge (up to 2 months)	Occurrence and/or worsening of stage bedsores ≥ 2 during hospital stay
Occurrence of early rehospitalization	This outcome is assessed within 30 days of discharge from the short-stay geriatric unit	Number of unscheduled hospitalization in a Medicine-Surgery-Obstetrics (MSO) unit within 30 days of discharge from the short-stay geriatric unit

Trial Locations

Locations (5)

Angers University Hospital; 🇫🇷 Angers, France

Brest University Hospital; 🇫🇷 Brest, France

Tours University Hospital; 🇫🇷 Tours, France

Nantes University Hospital; 🇫🇷 Nantes, France

Rennes University Hospital; 🇫🇷 Rennes, France