Pneumonia
Conditions
Keywords
elderly
Brief summary
In the present proposal, we hypothesize that specifically targeting pneumonia events with preventive interventions in the French EHPAD (Etablissements d'Hébergement pour Personnes Agées Dépendantes) setting (thus, improving the health status and quality of life of patients) may simultaneously produce relevant reductions in the healthcare costs. In fact, although the number of pneumonia cases may be numerically limited, the consequences of each event are potentially catastrophic for both the patient and the healthcare system. Unfortunately, to date, information about the incidence and economical effects of pneumonia in the older population living in the French EHPAD are extremely scare. To adequately evaluate whether there is room to implement preventive interventions aimed at reducing the onset of pneumonia in a cost-effective fashion on a large scale, preliminary data from this specific population are needed. This first step is crucial towards the appropriate design and conduction of possible future large-scale intervention trials in the EHPAD setting.
Interventions
OTHERData collection on pneumonia events
Sponsors
University Hospital, Toulouse
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
60 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Groups Iso-Resources (GIR) ranging between 5 (included) and 2 (included) * Ability and willingness to participate to the study and to provide informed consent * Agreement with the patient's physician about the enrolment to the study
Exclusion criteria
* Refusal of the EHPAD to participate * Patients with severe disability (GIR 1) * Patients with no evidence of functional impairment (GIR 6) * Patients living in the participating EHPAD for less than 30 days since the baseline study visit
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of pneumonia | months 12 | Estimate the incidence of pneumonia events in a sample of 800 older patients living in 30 EHPADs over a period of 12 months |
| healthcare costs | months 12 | To compare the healthcare costs of participants experiencing a pneumonia event versus those who will not in a random sample of 800 older patients living in 30 EHPADs over a period of 12 month |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mortality risk | Months 12 | To calculate the mortality risk in a random sample of 800 EHPAD older patients according to the presence/absence of a pneumonia event occurred during a follow-up period of 12 months |
| Physical Function | Months 12 | To measure the physical function modifications experienced by a random sample of 800 EHPAD older patients according to the presence/absence of a pneumonia event occurred during a follow-up period of 12 months |
Countries
France
Outcome results
None listed