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OpenTrials
Completed

NCT Number: NCT04760015

Characteristics of Patients With Dementia Who Are Screaming in Nursing Homes

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.

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Key information

Conditions

Dementia Aberrant Motor Behavior in Dementia Behavior Behavioral Symptoms Brain Diseases Central Nervous System Diseases Dyskinesias Mental Disorders Nervous System Diseases Neurobehavioral Manifestations Neurocognitive Disorders Neurologic Manifestations Pathological Conditions, Signs and Symptoms Psychomotor Agitation Psychomotor Disorders Signs and Symptoms

Age range

75 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Uhmontpellier

Montpellier, 34295, France

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • aged 75 years old and more
  • living in nursing homes
  • dementia
  • agitation and disruptives vocalizations
  • twice and more interventions by the Mobile Gerontopsychiatry Team

Exclusion criteria

  • no follow-up after team intervention

Treatment and study plan

Primary outcomes

  1. Describe the profile of demented patients

    Time frame: 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 outcomes

  1. Efficiency of MGT's intervention on screams

    Time frame: 2 years

    Evaluate the effectiveness of the MGT's intervention on cries (increase, decrease, stop, lack of effectiveness).

  2. Determination of predictive factors for MGT's effectiveness.

    Time frame: 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).

  3. Determination if the delay between the symptom's beginning and intervention can influence their effectiveness.

    Time frame: 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.

  4. Determination if disruptives vocalizations could be a dementia premorbid symptom.

    Time frame: 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.

Sponsors and collaborators

Lead sponsor

University Hospital, Montpellier

Other

Registry information

Official study title

Characteristics of Patients With Disruptive Vocalizations Residing in Nursing Homes Supported by the Mobile Gerontopsychiatry Team : Retrospective Study

Important dates

Study start
2021
Primary completion
2021
Study completion
2021
First posted
Feb 18, 2021
Registry last updated
Nov 15, 2021

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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