Impact of Systematic Tracking of Dementia Cases on the Rate of Hospitalization in Emergency Care Units (IDEM)

T

Toulouse University Hospital

Status

Completed

Conditions

Dementia in Nursing Home

Treatments

Other: MultiDisciplinary Team Meetings (MDTM)

Study type

Interventional

Funder types

Other

Identifiers

NCT01569997
2009-A01062-55 (Other Identifier)
0910701

Details and patient eligibility

About

Introduction: Epidemiological data show that in France only half of patients with Alzheimer disease are currently diagnosed in the general population. The absence of early diagnosis of dementia reduces the opportunities of patients to receive optimal care. One of the consequences of undiagnosed dementia is inadequate use of emergency care units. The main objective: The main aim of this study is to evaluate the impact of a systematic case-finding procedure of dementia cases in nursing homes through a MDTM on the rate of hospitalization in emergency care units. Secondary objectives: To assess the impact of systematic tracking of dementia cases on the: Quantity and quality of drug-prescription Appropriateness of hospitalizations Prevalence of neuropsychiatric symptoms Dependency Quality of life Burden of nursing staff working conditions Planning of specific therapeutic measures Overall health care costs

Full description

This is a multicentre, cluster randomized study comparing two parallel groups: Intervention group: nursing homes whose residents benefit from MDTM to identify the cases of dementia and to propose an adequate care project Control group: nursing homes whose residents continue to benefit from usual care In each group, 1000 elderly subjects aged over 60 years without documented diagnosis of dementia will be included and monitored for a period of 18 months. Information about the main and secondary aims will be collected monthly through online questionnaires.

Enrollment

1,428 patients

Sex

All

Ages

60+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Residents of both sex, aged 60 years or over
  • Residents living in a nursing home participating in the study
  • Residents living in the nursing home for 30 days or more

Residents without diagnosed and documented dementia, identified as follows:

  • residents not identified by the French Healthcare system as suffering from dementia (ALD 15)
  • residents not benefiting from a specific care program or a specialized follow-up for dementia
  • residents for whom there is no appropriate investigation for dementia diagnosis in medical records
  • residents not taking specific drugs for dementia (Cholinesterase inhibitors and/or Memantine)
  • Residents and their GP having received information about the study
  • Residents and their GP having expressed their agreement to participate in the study

Exclusion criteria

  • Residents aged less than 60 years
  • Residents not living in a nursing home participating in study
  • Residents living in nursing home for less than 30 days

Residents with diagnosed and documented dementia, identified as follows:

  • residents Identified by the French Healthcare system as suffering from dementia (ALD 15)
  • residents benefiting from specific care programme or specialized follow-up for dementia
  • residents for whom there is appropriate investigation for dementia diagnosis in medical records
  • residents taking specific drugs for dementia (Cholinesterase inhibitors and/or Memantine)
  • Residents and/or their GP who received no information about the study
  • Residents and/or their GP having expressed their opposition to participate in the study

Trial design

1,428 participants in 2 patient groups

Intervention group
Other group
Description:
Intervention group: nursing homes whose residents benefit from MDTM to identify the cases of dementia and to propose an adequate care project
Treatment:
Other: MultiDisciplinary Team Meetings (MDTM)
control group
No Intervention group
Description:
Control group: nursing homes whose residents continue to benefit from usual care

Trial contacts and locations

0

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Data sourced from clinicaltrials.gov

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