Skip to main content
OpenTrials
Completed

NCT Number: NCT04683380

Robustness Predictive Factors in People Aged Over 75 Years After Going to the Emergency Room (ROB-U)

After emergency room visits, the elderly patients can increase their dependence and functional decline. In this context the goal of this study is to demonstrate that there are robustness predictive factors after visit to the emergency room.

Completed

Looking for future studies?

Notify Me

Key information

Conditions

Aging Disease Attributes Emergencies Emergency Room Pathologic Processes Pathological Conditions, Signs and Symptoms Risk Factors

Age range

75 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Saint-Vincent Hospital

Lille, Haut-de-France, 59000, France

About this study

The emergency department is one of the main access routes to the hospital for elderly patients.

Older age is often associated with an increase risk of longer stay in the emergency room with a high subsequent risk of hospital re-admission. One of the essential care objectives when treating these patients is to maintain the autonomy to avoid any dependence in order to keep the quality of life, and limit the time of hospitalization.

Emergency room visits and hospitalizations are too often considered as a source of autonomy loss aggravation in the elderly. Many studies have demonstrated the mortality predictive factors existence, functional decline, or re-hospitalization of the elderly after an emergency room visit or after hospitalization.

No study until now has investigated the existence of factors directly predictive of robustness. Then the goal of this study is to demonstrate that there are robustness predictive factors after going to the emergency room.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Patients admitted to the emergency room
  • Patients aged ≥ 75 years old
  • Patients without cognitive disorders or vigilance disorders
  • Patients living at home
  • Patients able to give its non-opposition

Non inclusion Criteria:

  • Patients admitted to the hospital in the last 3 months
  • Patients refusing to participate in the study

Exclusion criteria

  • Patients whose stay is < 14h or > 48h
  • Patients who die during hospitalization
  • Patient not hospitalized
  • Patient not returning home after discharge from hospital

Treatment and study plan

Primary outcomes

  1. Identification of predictive factors of robustness : Autonomy level at home (ADL score)

    Time frame: 3 months

    ADL self-performance coding ranges from 0 (independent) to 4 (total dependence).

  2. Identification of predictive factors of robustness by a questionnaire (help at home)

    Time frame: 3 months

    Need of help at home such as : toilet, breakfast, lunch, dinner (yes or not)

  3. Identification of predictive factors of robustness by a questionnaire (family visits)

    Time frame: 3 months

    Number of family visits

  4. Identification of predictive factors of robustness by a questionnaire (appetit)

    Time frame: 3 months

    loss of appetite (yes or not)

  5. Identification of predictive factors of robustness (heart rate)

    Time frame: 3 months

    Heart rate during hospitalization (minimum and maximum values)

  6. Identification of predictive factors of robustness (Modified Triage Risk Screening Tool (TRST)) score

    Time frame: 3 months

    The TRST score is a tool to predict repeat emergency department visits and hospitalizations in older patients discharged from the emergency department; This tool evaluates 5 dimensions : cognitive disorders presence, walking disorders, polymedication, hospitalization antecedents and functional assessment (loss of autonomy). Every dimension is worth 1 point if the patient presents the disorder. The final maximum score is 5 points.

  7. Identification of predictive factors of robustness : BMI (Body Mass Index)

    Time frame: 3 months

    Body mass index

  8. Albuminemia

    Time frame: 3 months

    Rate of Albuminemia

  9. Identification of predictive factors of robustness : Lifestyle

    Time frame: 3 months

    Lifestyle: person living alone (yes or not)

  10. Sleep assessment using a Visual Analog Scale (VAS).

    Time frame: 3 months

    This scale allows patients to assess their fatigue. The patients locate their fatigue intensity on a 100-millimeters horizontal line. Using a ruler, the score is determined by measuring the distance (mm) on the 10-cm line between the "no pain" anchor and the patient's mark, providing a range of scores from 0-100. A higher score indicates greater pain intensity.

Secondary outcomes

  1. Rate of re-hospitalization

    Time frame: 3 months

    Only direct re-hospitalizations in emergency rooms and geriatric short stay will be counted

  2. Rate of patient survival

    Time frame: 3 months

    Rate of patient survival

  3. Rate of lack of Institutionalization

    Time frame: 3 months

    Rate of lack of Institutionalization

Sponsors and collaborators

Lead sponsor

Lille Catholic University

Other

Registry information

Official study title

Study of the Robustness Predictive Factors in People Aged Over 75 Years After Going to the Emergency Room

Acronym: ROB-U

Important dates

Study start
2021
Primary completion
2021
Study completion
2021
First posted
Dec 24, 2020
Registry last updated
Jan 6, 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.

Related clinical trials

Published trials that share one or more normalized conditions with this study.