Study of the Robustness Predictive Factors in People Aged Over 75 Years After Going to the Emergency Room
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 110
- 试验地点
- 1
- 主要终点
- Identification of predictive factors of robustness : Autonomy level at home (ADL score)
研究概览
简要总结
After emergency room visits, the elderly patients can increase their dependence and functional decline. In this context the goal of this study is to demonstrate that there are robustness predictive factors after visit to the emergency room.
详细描述
The emergency department is one of the main access routes to the hospital for elderly patients.
Older age is often associated with an increase risk of longer stay in the emergency room with a high subsequent risk of hospital re-admission. One of the essential care objectives when treating these patients is to maintain the autonomy to avoid any dependence in order to keep the quality of life, and limit the time of hospitalization.
Emergency room visits and hospitalizations are too often considered as a source of autonomy loss aggravation in the elderly. Many studies have demonstrated the mortality predictive factors existence, functional decline, or re-hospitalization of the elderly after an emergency room visit or after hospitalization.
No study until now has investigated the existence of factors directly predictive of robustness. Then the goal of this study is to demonstrate that there are robustness predictive factors after going to the emergency room.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Prospective
入排标准
- 年龄范围
- 75 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients admitted to the emergency room
- •Patients aged ≥ 75 years old
- •Patients without cognitive disorders or vigilance disorders
- •Patients living at home
- •Patients able to give its non-opposition
- •Non inclusion Criteria:
- •Patients admitted to the hospital in the last 3 months
- •Patients refusing to participate in the study
排除标准
- •Patients whose stay is < 14h or > 48h
- •Patients who die during hospitalization
- •Patient not hospitalized
- •Patient not returning home after discharge from hospital
结局指标
主要结局
Identification of predictive factors of robustness : Autonomy level at home (ADL score)
时间窗: 3 months
ADL self-performance coding ranges from 0 (independent) to 4 (total dependence).
Identification of predictive factors of robustness by a questionnaire (help at home)
时间窗: 3 months
Need of help at home such as : toilet, breakfast, lunch, dinner (yes or not)
Identification of predictive factors of robustness by a questionnaire (family visits)
时间窗: 3 months
Number of family visits
Identification of predictive factors of robustness by a questionnaire (appetit)
时间窗: 3 months
loss of appetite (yes or not)
Identification of predictive factors of robustness (heart rate)
时间窗: 3 months
Heart rate during hospitalization (minimum and maximum values)
Identification of predictive factors of robustness (Modified Triage Risk Screening Tool (TRST)) score
时间窗: 3 months
The TRST score is a tool to predict repeat emergency department visits and hospitalizations in older patients discharged from the emergency department; This tool evaluates 5 dimensions : cognitive disorders presence, walking disorders, polymedication, hospitalization antecedents and functional assessment (loss of autonomy). Every dimension is worth 1 point if the patient presents the disorder. The final maximum score is 5 points.
Identification of predictive factors of robustness : BMI (Body Mass Index)
时间窗: 3 months
Body mass index
Albuminemia
时间窗: 3 months
Rate of Albuminemia
Identification of predictive factors of robustness : Lifestyle
时间窗: 3 months
Lifestyle: person living alone (yes or not)
Sleep assessment using a Visual Analog Scale (VAS).
时间窗: 3 months
This scale allows patients to assess their fatigue. The patients locate their fatigue intensity on a 100-millimeters horizontal line. Using a ruler, the score is determined by measuring the distance (mm) on the 10-cm line between the "no pain" anchor and the patient's mark, providing a range of scores from 0-100. A higher score indicates greater pain intensity.
次要结局
- Rate of re-hospitalization(3 months)
- Rate of patient survival(3 months)
- Rate of lack of Institutionalization(3 months)