Provision of a Mobile Geriatric Team Extra-Community Hospital (UMG)

Grenoble Alpes University Hospital Center (CHU)

Status: Completed

Conditions: Mobil Unit; Geriatric Disorder

Treatments: Other: home visit; Other: telephone management

Study type: Observational

Funder types: Other

Identifiers

NCT01449968

DCIC 10 16

Details and patient eligibility

About

The purpose of this study is to demonstrate the effectiveness of the mobile unit to reduce the geriatric hospital inappropriate (especially for emergencies) to 1 month.

The primary endpoint: survival without hospitalization through the emergency inappropriate to 1 month.

Full description

The purpose of this study is to assess the effectiveness of the Mobile Geriatrics on the management of complex situations in retirement homes and in ambulatory care of frail elderly patients, reported by the generalist doctor, in terms of improving the conditions of use technical support hospital follow-up recommendations given by the mobile team and their impact on outcomes of care.

Enrollment: 334 patients

Sex: All

Ages: 75+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patient aged 75 and over living in complex medical or psycho-social complex or at risk of hospitalization
• Patient affiliated to social security or beneficiary of such a regime
• Patient available for follow-up to 6 months with a caregiver or accompanying social duly appointed.

Exclusion criteria

• Patient residing outside intervention sector
• Life-threatening emergency (ambulance)
• Lack of complexity of the situation, supported by routine care

Trial design

334 participants in 2 patient groups

home visit of UMG

Description:

home visit with evaluation and management of the situation (control over in-home telephone)

Treatment:

Other: home visit

telephone management

Description:

geriatric mobile unit provides a telephone advice only to the general practitioner with guidance and recommendations (call control)

Treatment:

Other: telephone management