The Elderly
Conditions
Keywords
Elderly, Prevention, Multiple chronic disease, Telemonitoring, Geriatric teleexpertise, Home heath care, Medico-economics
Brief summary
The elderly or people with disabilities want to remain in their homes even when their health condition has been getting worse. This project aims to demonstrate that home automation and telemonitoring can lead to develop a home safety environment that could help the elderly and individual with disability live independently in their own home. In this study, the automation sensors containing devices follow up chronic disease clinical factors to monitor their biometrical parameters and detect any abnormal prodromal disease decompensation via telemonitoring and geriatric expertise. The purpose of this study is: * to provide clinical evidence of the effectiveness of automation tools and telemonitoring/expertise for the home support for people at risk of loss of autonomy * to demonstrate the clinical benefit of combining the automation and telemonitoring and geriatric teleexpertise
Interventions
Device: Biometric sensors; Home automation; telecare
Sponsors
Study design
Eligibility
Inclusion criteria
* Aged 65 or more. * House equipped with home automation * Having been hospitalized in the year prior to the inclusion for the following conditions : heart failure, chronic obstructive pulmonary disease (COPD ), diabetes, high blood pressure ( hypertension ) , repetitive falls, chronic renal failure , stroke, neurodegenerative diseases , malnutrition (according to criteria HAS) * Multiple chronic diseases (at least 2 comorbidities) . * Having given free and informed consent
Exclusion criteria
* Life expectancy less than 12 months * Enrolled in another clinical trial
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of unplanned hospitalization for decompensation | at 12 months | The effectiveness of home telemonitoring on the cumulative incidence of unplanned hospitalization for decompensation in the elderly |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Impact on global health | at 12 months | * Number of visits to the emergency * Number of readmissions * Number of days of hospitalization * Number of visits to the doctor |
| Cost/effectivness preventive care | at 12 months | Evaluate the cost / effectiveness of the impact of telemonitoring on the preventive care in the elderly |
Countries
France
Contacts
CHU Limoges