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

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ClinicalTrials.gov Identifier: NCT01449968
Recruitment Status : Completed
First Posted : October 10, 2011
Last Update Posted : April 28, 2014
Sponsor:
Information provided by (Responsible Party):
AdministrateurCIC, University Hospital, Grenoble

Tracking Information
First Submitted Date July 7, 2011
First Posted Date October 10, 2011
Last Update Posted Date April 28, 2014
Study Start Date June 2011
Actual Primary Completion Date May 2013   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures
 (submitted: October 7, 2011)
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
Original Primary Outcome Measures Same as current
Change History
Current Secondary Outcome Measures
 (submitted: October 7, 2011)
  • 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.
Original Secondary Outcome Measures Same as current
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title Provision of a Mobile Geriatric Team Extra-Community Hospital
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
Brief Summary

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.

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.
Study Type Observational
Study Design Observational Model: Cohort
Time Perspective: Prospective
Target Follow-Up Duration Not Provided
Biospecimen Not Provided
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.
Condition
  • Geriatric Disorder
  • Mobil Unit
Intervention
  • Other: home visit
    home visit of UMG
  • Other: telephone management
    telephone management of the situation reported by the patient's GP
    Other Name: telephone management of the mobile unit of Geriatrics
Study Groups/Cohorts
  • home visit of UMG
    home visit with evaluation and management of the situation (control over in-home telephone)
    Intervention: Other: home visit
  • telephone management
    geriatric mobile unit provides a telephone advice only to the general practitioner with guidance and recommendations (call control)
    Intervention: Other: telephone management
Publications *

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status Completed
Actual Enrollment
 (submitted: July 19, 2013)
334
Original Estimated Enrollment
 (submitted: October 7, 2011)
600
Actual Study Completion Date November 2013
Actual Primary Completion Date May 2013   (Final data collection date for primary outcome measure)
Eligibility 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
Sex/Gender
Sexes Eligible for Study: All
Ages 75 Years and older   (Older Adult)
Accepts Healthy Volunteers No
Contacts Contact information is only displayed when the study is recruiting subjects
Listed Location Countries France
Removed Location Countries  
 
Administrative Information
NCT Number NCT01449968
Other Study ID Numbers DCIC 10 16
Has Data Monitoring Committee No
U.S. FDA-regulated Product Not Provided
IPD Sharing Statement Not Provided
Responsible Party AdministrateurCIC, University Hospital, Grenoble
Study Sponsor University Hospital, Grenoble
Collaborators Not Provided
Investigators
Principal Investigator: Pascal COUTURIER, PUPH Geriatric unit - University Hospital of Grenoble
PRS Account University Hospital, Grenoble
Verification Date April 2014