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Completed

NCT Number: NCT01449968

Provision of a Mobile Geriatric Team Extra-Community Hospital

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.

Completed

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Key information

Conditions

Geriatric Disorder Mobil Unit

Age range

75 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

CH Annecy, Annecy, France

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About this study

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.

Who can participate

Healthy volunteers accepted: No

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

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

Treatment and study plan

Home visit

Other

home visit of UMG

telephone management

Other

telephone management of the situation reported by the patient's GP

Other names: telephone management of the mobile unit of Geriatrics

Primary outcomes

  1. 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

Secondary outcomes

  1. 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

  2. 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

  3. 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

  4. 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

  5. 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.

Sponsors and collaborators

Lead sponsor

University Hospital, Grenoble

Other

Registry information

Official study 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

Acronym: UMG

Important dates

Study start
2011
Primary completion
2013
Study completion
2013
First posted
Oct 10, 2011
Registry last updated
Apr 28, 2014

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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