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Completed

NCT Number: NCT04846608

Descriptive Study of Emergency Room Visits From Nursing Home Residents for Behavioral Problems at the Nancy University Hospital: Place of the Advanced Practice Nurse

The demographic evolution of old age is a reality. After the age of 75, 2 out of 3 people living in institutions have neurocognitive disorders. Behavioural disorders such as physical aggression, agitation, hallucinations, sleep disorders, generate difficulties in the management of these patients and lead to unscheduled emergency hospitalizations. Non-pharmacological management of behavioral disorders is recommended as a first-line treatment because of its low risk and potential improvement (Haute Autorité de Santé 2009). However, this management is not simple and obvious to put in place, especially since not all elderly people with Behavioural disorders are in adapted structures. The advanced practice nurse specializing in geriatrics has a place in this care pathway. Because of her skills, she could "organize multi-professional care, set up analyses of practices within the nursing homes, train caregivers appropriately, and limit hospitalizations due to behavioral problems" (SALIEGE L. 2020). Advanced practice nursing is in its infancy in France, and everything remains to be done (International Council of Nurses- directive). The aim of the study is to identify the number of emergency room visits by people aged 75 and over for behavioral problems in nursing home during a 6 month-period.

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Key information

Conditions

Behavioral Disorders Mental Disorders

Age range

75 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

CHRU de NANCY

Nancy, 54000, France

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Person who has received full information on the organization of the research and has not objected to the use of this data
  • Elderly men and women 75 years of age and older at the time of the emergency room visit
  • Having for main residence one of the nursing homes of the Grand Nancy
  • Administratively present in the emergency department
  • Having been admitted to the emergency room for the following reasons:
  • Behavioural problems
  • Agitation
  • Dementia
  • Disorientation
  • Delirium

Exclusion criteria

  • People under 75 years of age
  • Residing at home or in a senior residence or in a nursing home outside Grand Nancy
  • Referred by an inpatient department (rehabilitation department)
  • Other reasons for emergency room use such as "depression" and "apathy

Treatment and study plan

observation

Other

Observation

Primary outcomes

  1. Number of passage of people aged 75 and over referred to emergency departments by nursing homes for disorientation, agitation, dementia or behavioural problems during the study period

    Time frame: through study completion, an average of 6 months

    Number of passage of people aged 75 and over referred to emergency departments by nursing homes for disorientation, agitation, dementia or behavioural problems during the study period

Secondary outcomes

  1. Age of the patients

    Time frame: through study completion, an average of 6 months

  2. Gender of the patients

    Time frame: through study completion, an average of 6 months

  3. Presence of previous medical cognitive disorder

    Time frame: through study completion, an average of 6 months

  4. Name of nursing home of origin

    Time frame: through study completion, an average of 6 months

  5. Length of stay at emergency room

    Time frame: through study completion, an average of 6 months

  6. Referral after visit at emergency room

    Time frame: through study completion, an average of 6 months

  7. Number of iterative passage of people aged 75 and over referred to emergency departments by nursing homes for disorientation, agitation, dementia or behavioural problems during the study period

    Time frame: through study completion, an average of 6 months

  8. Presence of intervention of geriatric mobile team

    Time frame: through study completion, an average of 6 months

Sponsors and collaborators

Lead sponsor

Central Hospital, Nancy, France

Other

Collaborators

  • Mahmut GUNDESLI MD
  • Marie MANGEOT- Nurse

Registry information

Important dates

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