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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:
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
Sex
Ages
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 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 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
Primary purpose
Allocation
Interventional model
Masking
1,428 participants in 2 patient groups
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Data sourced from clinicaltrials.gov
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