Gerontological Telemonitoring of Older Adults Living in Nursing Homes With COVID-19 Disease (COVIDeHPAD)

University of Limoges (UL)

Status: Unknown

Conditions: Coronavirus Infection

Treatments: Other: telehealth applications

Study type: Interventional

Funder types: Other

Identifiers

NCT04337788

87RI20_0013

Details and patient eligibility

About

Since the last 3 months the world copes with the novel coronavirus disease : Covid-19 emerged in China in the end of 2019. WHO declared the pandemic situation as a Public Health Emergency around the world on January 2020.

Firsts studies emphasized on higher risk to older adults to experience serious health consequences : hospitalizations and mortality, due to multimorbidity and multimedication. Nursing home resident are particulary frailer and vulnerable.

Enrollment: 200 estimated patients

Sex: All

Ages: 75+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Nursing home resident with Covid disease RT-PCR or Chest CT or rapid test
• Nursing home resident with Covid-19 disease symptoms :
• fever
• cough
• dyspnea
• SPO2<95% in ambient air (or <91% in COPD patient)
• Diarrhea
• Fall or balance disorder
• Confusion

Exclusion criteria

• Age < 75 years
• Patient in respiratory distress
• No consent

Trial design

Primary purpose: Prevention

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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200 participants in 2 patient groups

gerontological telemonitoring action

Experimental group

Description:

Nurses answer a daily resident-reported questionnaire (e.g. temperature, dyspnea, pain), edited by French health authorities. From D0 to D20, data are transmitted to the NHSP. Warning algorithms specially developed for older persons identify signs that are monitored by the NHSP geriatrician coordinator. A feedback is provided to the general physician for specific actions required and appropriate support. A last questionnaire is completed at D30 by the nurse in order to stop monitoring and know event occurred between D20 to D30.

Treatment:

Other: telehealth applications

routine care without gerontological telemonitoring

No Intervention group

Description:

routine care