Provision of a Mobile Geriatric Team Extra-Community Hospital - Full Text View

Purpose

The purpose of this study is to demonstrate the effectiveness of the mobile unit to reduce the geriatric hospital inappropriate (especially for emergencies) to 1 month.

The primary endpoint: survival without hospitalization through the emergency inappropriate to 1 month.

Condition	Intervention
Geriatric Disorder Mobil Unit	Other: home visit Other: telephone management


Study Type:	Observational
Study Design:	Observational Model: Cohort Time Perspective: Prospective
Official Title:	Provision of a Mobile Geriatric Team Extra-Community Hospital in Assessing and Regulating the Hospitalization of Frail Elderly Patients With Complex Medical and Social Situation

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MedlinePlus related topics: Health Facilities

U.S. FDA Resources

Further study details as provided by AdministrateurCIC, University Hospital, Grenoble:

Primary Outcome Measures:

effectiveness of the visit of the mobile unit to reduce the geriatric hospital inappropriate (especially for emergencies) to 1 month [ Time Frame: 1 month ]
inappropriate survival without hospitalization through the emergency room at 1 month

Secondary Outcome Measures:

follow-up rate of the proposals of UMG ext (adherence to recommendations and feasibility) and analyze the reasons for not monitoring these proposals one month [ Time Frame: 1 month ]
follow-up of recommendations made by the mobile unit of Geriatrics
survival without hospitalization inappropriate, mortality, changes in functional status and cognitive health care consumption up to 6 months of surgery [ Time Frame: 6 months ]
Unplanned hospitalization rates obtained by telephone follow-up at 3 and 6 months
effectiveness of the visit of the mobile geriatric home versus telephone follow-up of mobile geriatric unit [ Time Frame: 6 months ]
Analysis of sub-groups
needs and difficulties of attending physicians in the care of frail elderly patients with complex medical and social situation before and after the establishment of mobile units for geriatrics. [ Time Frame: 1 year ]
Questionnaire to GPs in the health sector concerned
cost effectiveness of two types of visit of the mobile unit of Geriatrics (telephone regulation and control over travel home phone) [ Time Frame: 6 months ]
Cost of hospitalization.


Enrollment:	334
Study Start Date:	June 2011
Study Completion Date:	November 2013
Primary Completion Date:	May 2013 (Final data collection date for primary outcome measure)

Groups/Cohorts	Assigned Interventions
home visit of UMG home visit with evaluation and management of the situation (control over in-home telephone)	Other: home visit home visit of UMG
telephone management geriatric mobile unit provides a telephone advice only to the general practitioner with guidance and recommendations (call control)	Other: telephone management telephone management of the situation reported by the patient's GP Other Name: telephone management of the mobile unit of Geriatrics

Detailed Description:

The purpose of this study is to assess the effectiveness of the Mobile Geriatrics on the management of complex situations in retirement homes and in ambulatory care of frail elderly patients, reported by the generalist doctor, in terms of improving the conditions of use technical support hospital follow-up recommendations given by the mobile team and their impact on outcomes of care.

Eligibility


Ages Eligible for Study:	75 Years and older (Senior)
Sexes Eligible for Study:	All
Accepts Healthy Volunteers:	No
Sampling Method:	Non-Probability Sample

Study Population

The study population includes patients over 75 years in medical condition or psycho-social complex, followed by a general practitioner to population centers include: Grenoble, Annecy and Roanne.

Criteria

Inclusion Criteria:

Patient aged 75 and over living in complex medical or psycho-social complex or at risk of hospitalization
Patient affiliated to social security or beneficiary of such a regime
Patient available for follow-up to 6 months with a caregiver or accompanying social duly appointed.

Exclusion Criteria:

Patient residing outside intervention sector
Life-threatening emergency (ambulance)
Lack of complexity of the situation, supported by routine care

Contacts and Locations

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01449968

Locations


France
CH Annecy
Annecy, France, 74000
University Hospital of Grenoble
Grenoble, France, 38000
CH Roanne
Roanne, France, 42300

Sponsors and Collaborators

University Hospital, Grenoble

Investigators


Principal Investigator:	Pascal COUTURIER, PUPH	Geriatric unit - University Hospital of Grenoble

More Information

Publications:

Bernabei R, Landi F, Gambassi G, Sgadari A, Zuccala G, Mor V, Rubenstein LZ, Carbonin P. Randomised trial of impact of model of integrated care and case management for older people living in the community. BMJ. 1998 May 2;316(7141):1348-51.

Stuck AE, Siu AL, Wieland GD, Adams J, Rubenstein LZ. Comprehensive geriatric assessment: a meta-analysis of controlled trials. Lancet. 1993 Oct 23;342(8878):1032-6.

Elkan R, Kendrick D, Dewey M, Hewitt M, Robinson J, Blair M, Williams D, Brummell K. Effectiveness of home based support for older people: systematic review and meta-analysis. BMJ. 2001 Sep 29;323(7315):719-25. Review.


Responsible Party:	AdministrateurCIC, Pr Pascal COUTURIER, University Hospital, Grenoble, University Hospital, Grenoble
ClinicalTrials.gov Identifier:	NCT01449968 History of Changes
Other Study ID Numbers:	DCIC 10 16
Study First Received:	July 7, 2011
Last Updated:	April 25, 2014

ClinicalTrials.gov processed this record on August 23, 2017

Provision of a Mobile Geriatric Team Extra-Community Hospital (UMG)