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A Descriptive Multicenter Investigation of Geriatrics Hotlines : A French Study

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ClinicalTrials.gov Identifier: NCT03959475
Recruitment Status : Recruiting
First Posted : May 22, 2019
Last Update Posted : May 24, 2019
Sponsor:
Collaborators:
National School for Social Security
Loire department
Information provided by (Responsible Party):
Régis Gonthier, Centre Hospitalier Universitaire de Saint Etienne

Brief Summary:

In France, for general practitioners, the Emergency Hospitality Services (UAS) are the fastest and usual way to respond to the complexity of managing elderly polypathological patients. In 2013, the Regional Health Agencies proposed the creation of direct telephone assistance managed by geriatric doctors (geriatric hotlines) to promote interactions city - hospital. The aim of these hotlines is to improve the care pathways and health status of seniors. The objective of this study is to describe the care trajectories and health status of subjects over 75 years of age hospitalized in a short-term geriatric stay on the guidance of a Geriatric Hotline.

The study will take place over 24 months and in 7 French University Hospitallers Centres. The study will include all patients aged 75 and over, living at home or in an institution, who are hospitalized in a short-term geriatric ward on the guidance of a Hotline.

The results will show whether a management by the geriatric hotline is the most suitable for seniors, with an average length of stay probably shorter.


Condition or disease
Geriatric Elderly

  Show Detailed Description

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Study Type : Observational [Patient Registry]
Estimated Enrollment : 2000 participants
Observational Model: Case-Only
Time Perspective: Prospective
Target Follow-Up Duration: 1 Month
Official Title: A Descriptive Multicenter Investigation of Geriatrics Hotlines : Description of the Health Care Pathways and Conditions of Subjects Aged 75 and Over
Actual Study Start Date : May 5, 2018
Estimated Primary Completion Date : April 30, 2020
Estimated Study Completion Date : April 30, 2020

Group/Cohort
Saint-Etienne Hospital
All people aged 75 years and over hospitalized in short-stay geriatric care via a hotline in this hospital
Firminy hospital
All people aged 75 years and over hospitalized in short-stay geriatric care via a hotline in this hospital
South Lyon hospital
All people aged 75 years and over hospitalized in short-stay geriatric care via a hotline in this hospital
Bordeaux hospital
All people aged 75 years and over hospitalized in short-stay geriatric care via a hotline in this hospital
Saint-Chamond hospital
All people aged 75 years and over hospitalized in short-stay geriatric care via a hotline in this hospital
Angers hospital
All people aged 75 years and over hospitalized in short-stay geriatric care via a hotline in this hospital
Clermont Ferrand hospital
All people aged 75 years and over hospitalized in short-stay geriatric care via a hotline in this hospital



Primary Outcome Measures :
  1. the mean duration of hospitalization in short-stay geriatric care [ Time Frame: through study completion, an average of 2 years ]
    the mean duration of hospitalization in short-stay geriatric care


Secondary Outcome Measures :
  1. Assessment of health status using the Charlson comorbidity index for elderly patients hospitalized in short-stay geriatric wards [ Time Frame: through study completion, an average of 2 years ]

    By questionnaire : Charlson's index calculation using patient history for assessing the comorbidities of our geriatric population.

    The Charlson comorbidity index : a method of predicting mortality by classifying or weighting comorbid conditions.

    The Charlson comorbidity index predicts the one-year mortality for a patient who may have a range of comorbid conditions, such as heart disease, AIDS, or cancer (a total of 22 conditions). Each condition is assigned a score of 1, 2, 3, or 6, depending on the risk of dying associated with each one. Scores are summed to provide a total score to predict mortality The minimum score is 0 and the maximum score is 27. The value 0 is the best possible result. With a charlson score of 3 or higher, there is a risk of an adverse change in the patient's state of health.

    Score = 0 => 12% of 1 year mortality Score of 1 to 2 => 26% of 1 year mortality Score of 3 to 4 => 52% of 1 year mortality Score of 5 or more => 85% of 1 year mortality


  2. Describing and comparing how the different hotlines across France function [ Time Frame: through study completion, an average of 2 years ]
    By questionnaire for all hotlines : N° residents, total number of hospital beds, short-stay geriatric care Yes/No, post-discharge care Yes/No, long-term rehabilitation care Yes/No, consultation Yes/No, Outpatient clinic Yes/No, Ambulance care Yes/No, telemedical consultation Yes/No.



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Ages Eligible for Study:   75 Years and older   (Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
The study population will be constituted of people aged 75 and over, living in their own home or in a care facility (including independent-living facilities), hospitalized in short-stay geriatric care referred by the hotline in one of the investigating centers, and who are fully aware of the study and their rights regarding their participation.
Criteria

Inclusion Criteria:

  • Age over 75
  • Male/Female
  • Living at home or in an institution (independent residence included)
  • Being hospitalized in a short geriatric stay

Exclusion Criteria:

  • Patients under 75 years
  • Refusal to participate in study

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03959475


Contacts
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Contact: Bienvenu BONGUE, PHD 0477816373 bienvenu.bongue@cetaf.fr

Locations
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France
CHU Saint-Etienne Recruiting
Saint-Étienne, France, 42000
Contact: Bienvenu BONGUE    0477816373    bienvenu.bongue@cetaf.fr   
Sponsors and Collaborators
Support and Education Technic Centre
National School for Social Security
Loire department
Investigators
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Principal Investigator: Régis GONTHIER CHU Saint-Etienne

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Responsible Party: Régis Gonthier, Profesor, Centre Hospitalier Universitaire de Saint Etienne
ClinicalTrials.gov Identifier: NCT03959475     History of Changes
Other Study ID Numbers: CFPPA-Loire-Hotline-2018
First Posted: May 22, 2019    Key Record Dates
Last Update Posted: May 24, 2019
Last Verified: May 2019

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No

Keywords provided by Régis Gonthier, Centre Hospitalier Universitaire de Saint Etienne:
Elderly subject
healthcare
Hotline
emergency department
GP medicine