Geriatric Disorder, Mobil Unit
Conditions
Brief summary
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.
Detailed 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.
Interventions
OTHERhome visit
home visit of UMG
OTHERtelephone management
telephone management of the situation reported by the patient's GP
Sponsors
University Hospital, Grenoble
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
75 Years to No maximum
Healthy volunteers
No
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| effectiveness of the visit of the mobile unit to reduce the geriatric hospital inappropriate (especially for emergencies) to 1 month | 1 month | inappropriate survival without hospitalization through the emergency room at 1 month |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| follow-up rate of the proposals of UMG ext (adherence to recommendations and feasibility) and analyze the reasons for not monitoring these proposals one month | 1 month | follow-up of recommendations made by the mobile unit of Geriatrics |
| survival without hospitalization inappropriate, mortality, changes in functional status and cognitive health care consumption up to 6 months of surgery | 6 months | Unplanned hospitalization rates obtained by telephone follow-up at 3 and 6 months |
| effectiveness of the visit of the mobile geriatric home versus telephone follow-up of mobile geriatric unit | 6 months | Analysis of sub-groups |
| needs and difficulties of attending physicians in the care of frail elderly patients with complex medical and social situation before and after the establishment of mobile units for geriatrics. | 1 year | Questionnaire to GPs in the health sector concerned |
| cost effectiveness of two types of visit of the mobile unit of Geriatrics (telephone regulation and control over travel home phone) | 6 months | Cost of hospitalization. |
Countries
France
Outcome results
None listed