Characteristics of Patients With Dementia Who Are Screaming in Nursing Homes

Completed

• Conditions: Dementia

• Registration Number: NCT04760015
• Lead Sponsor: University Hospital, Montpellier

Brief Summary

Patients with dementia develop behavioral problems over time. Among these, the investigators object screams or cries or disruptives vocalizations. Their cause is multifactorial and their management difficult in nursing homes. Often this patients are polymedicated, sedated or/and isolated.

Many scientific studies are interested in drug and non-drug treatments. In this study, the investigators are looking for a profile for disruptives vocalizations's patients. Thus, the investigators will study the global profile of demented patients residing in EHPAD to determine if there are any similarities between them.

Detailed Description

Not available

Study Timeline

• Study Start: 2021-02-01
• Study First Submitted: 2021-02-15
• Study First Submitted QC: 2021-02-15
• Study First Posted: 2021-02-18
• Primary Completion: 2021-08-01
• Study Completion: 2021-09-01
• Status Verified: 2021-11
• Last Update Submitted: 2021-11-12
• Last Update Posted: 2021-11-15

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Describe the profile of demented patients	2 years	Describe the profile of demented patients with disruptives vocalizations in EHPAD aged 75 and over, for whom an intervention of the Mobile Gerontopsychiatry Team (MGT) is requested.; Determining the profile of the screaming residents in nursing home : age, sex, type of dementia, severity of dementia (MMSE score), co-morbidities, current treatments, sensory impairments, autonomy, environment (visits, outside workers, activities in the EHPAD, paramedical interventions, ...), NPI-ES, psychological state (GDS).

Secondary Outcome Measures

Name	Time	Method
Determination of predictive factors for MGT's effectiveness.	2 years	Determine what are the predictive factors of the effectiveness of the intervention of the MGT (time to call after onset of cries, characteristics of the patient and characteristics of the institution).
Efficiency of MGT's intervention on screams	2 years	Evaluate the effectiveness of the MGT's intervention on cries (increase, decrease, stop, lack of effectiveness).
Determination if the delay between the symptom's beginning and intervention can influence their effectiveness.	2 years	Determine if the delay between the onset of screaming and the intervention of the MGT has an impact on the patient's mortality.
Determination if disruptives vocalizations could be a dementia premorbid symptom.	2 years	Determine whether screaming is a pre-morbid clinical sign by studying the time interval between the onset of screaming and the patient's death.

Trial Locations

Locations (1)

Uhmontpellier; 🇫🇷 Montpellier, France