Impact of a Dedicated Geriatric Sector on the Loss of Functional Autonomy at 1 Month for Patients Admitted to Emergencies and Non-hospitalised (URG-GERIA)

Civil Hospices of Lyon

Status: Completed

Conditions: Ambulatory Care; Health Services for the Aged; Emergency Service, Hospital

Treatments: Other: Activities of Daily Living (ADL) questionnaire (The Katz index )

Study type: Observational

Funder types: Other

Identifiers

NCT04970784

69HCL19_0973

2020-A00211-38 (Other Identifier)

Details and patient eligibility

About

Several studies have shown that going to the emergency room is a risk factor for loss of independence in the elderly. It has been shown that the period following an emergency room visit without hospitalization is a period of vulnerability for the elderly.

The functional decline, or loss of functional autonomy, of the elderly is associated with an increase in institutionalization, mortality and costs to society.

Studies have highlighted the risk factors for functional decline in the elderly, such as pre-existing functional and cognitive decline, undernutrition, but no model of care has yet prevented the risk of loss of autonomy after a stay in the emergency room.

A full and early geriatric assessment could prevent functional decline after the emergency room visit.

The primary objective of the study is to assess the impact of a dedicated geriatric sector on the functional decline at 1 month of patients admitted to emergencies without hospitalization by comparing an intervention group (patient having benefited from the geriatric sector) and a group witness ("classic" emergency patient).

The secondary objective is to evaluate the impact of this sector on the number of falls at home as well as the readmission rate within 1 month of going to the emergency room.

Enrollment: 285 patients

Sex: All

Ages: 75+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age greater than or equal to 75 years
• Emergency room consultation between 7:30 a.m. and 5:30 p.m.
• Relevant to the adult emergency department
• Return home after consultation

Exclusion criteria

• Age less than 75 years
• Arrival time between 5.30 p.m. and 7.30 a.m.
• Need to take care of unhooking
• Belonging to the short sector, versatile sector
• Patients hospitalized after consultation

Trial design

285 participants in 2 patient groups

Patients cared for by the adult sector

Description:

Patients admitted to emergencies, non-hospitalized and cared for by the adult sector of emergencies (classical emergencies)

Treatment:

Other: Activities of Daily Living (ADL) questionnaire (The Katz index )

Patients cared for by the geriatric sector

Description:

Patients admitted to emergencies, non-hospitalized and cared for by the geriatric sector of emergencies

Treatment:

Other: Activities of Daily Living (ADL) questionnaire (The Katz index )