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Completed

NCT Number: NCT03549585

End-of-Life Patient Identification Assistance in Acute GEriatric Medicine

The main objective of this project is to build a tool, adapted to the French geriatric population, that will predict the risk of death at three months after hospitalization in acute geriatric medicine. This tool will be built using selected items via a review of the literature published in 2015.

The 8 items of the CriSTAL tool will be collected prospectively in all patients hospitalized successively in the 2 post-emergency geriatric services (PUG) of the University Hospital of Toulouse, over a period of 9 months, by a dedicated clinical research associate. Patient survival will be assessed by obtaining the vital status of the cohort via CépiDC

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Key information

Conditions

Old Age Death Disease Attributes Emergencies Female Urogenital Diseases Female Urogenital Diseases and Pregnancy Complications Genital Diseases Genital Diseases, Female Hemorrhage Metrorrhagia Pathologic Processes Pathological Conditions, Signs and Symptoms Urogenital Diseases Uterine Diseases Uterine Hemorrhage

Age range

65 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

University Hospital Toulouse

Toulouse, 31052, France

About this study

As the population ages, the prevalence of chronic diseases increases. Let's take the example of cardiovascular, respiratory or neurological diseases, including Alzheimer's disease. These pathologies are at the origin of decompensations requiring sometimes multiple hospitalizations. It is clear that the goals of care (curative or palliative) are not always related to life expectancy. Decision making, especially in an acute context, is often tricky. The use of a tool with certain parameters of the patient could help to guide the reflection. The present study propose a tool proposed by an Australian team (CriSTAL), which lists items described in the literature as a risk factor for the death of elderly patients. This tool is currently being studied in several types of populations around the world (general population, cancer patients, hospitalized etc.).

This is a prospective study aimed at evaluating routine, single-center care, conducted at Toulouse University Hospital.

The successive inclusion of hospitalized patients in Post Emergencies Geriatric (PUG) unity will be carried out over a period of 9 months.

The primary outcome will be the vital status (alive / deceased) at 3 months of hospitalization in acute geriatric medicine.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Any geriatric patient hospitalized via emergencies at Post Emergencies Geriatric (PUG) unity
  • Oral agreement of non-opposition to the use of the data relative to their hospitalization and relative to their evolution within 3 months following the hospitalization

Exclusion criteria

  • Patient having expressed his opposition to the use of data related to his hospitalization

Treatment and study plan

Criteria for Screening and Triaging to Appropriate aLternative care

Other

CriSTAL Tool (Criteria for Screening and Treatment of Appropriate Long-Term Care) is a multidimensional geriatric tool that lists 18 elements of the literature, under construction and validation by an Australian retrospective study. This tool is a practical questionnaire and easy to use in current care, with items adapted to the geriatric dimension. The investigators chose to target hospitalized geriatric patients through emergencies.

Primary outcomes

  1. The vital status (alive / deceased) at 3 months

    Time frame: 3 months

    The vital status (alive / deceased) at 3 months of hospitalization in acute geriatric medicine.Survival will be collected in a data base.

Secondary outcomes

  1. The 8 items of the CriSTAL tool

    Time frame: 3 months

    Socio-demographic data of the geriatric patient in the emergencies

  2. The 8 items of the CriSTAL tool

    Time frame: 3 months

    The reason for admission of geriatric patients in the emergencies

  3. The 8 items of the CriSTAL tool

    Time frame: 3 months

    The variables potentially associated with the three-month death like Cognitive impairment

  4. The 8 items of the CriSTAL tool

    Time frame: 3 months

    The variables potentially associated with the three-month death : Hospitalization in intensive care during the last year

  5. The 8 items of the CriSTAL tool

    Time frame: 3 months

    ECG anomaly : ACFA, tachycardia, rhythm disorder> 5 per min, Q or ST segment abnormality

Sponsors and collaborators

Lead sponsor

University Hospital, Toulouse

Other

Registry information

Official study title

End-of-Life Patient Identification Assistance in Acute GEriatric Medicine: Construction and Validation of a Prognostic Tool

Acronym: ARPEGE

Important dates

Study start
2017
Primary completion
2019
Study completion
2019
First posted
Jun 8, 2018
Registry last updated
Feb 15, 2022

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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