Characteristics of Patients With Dementia Who Are Screaming in Nursing Homes

Characteristics of Patients With Disruptive Vocalizations Residing in Nursing Homes Supported by the Mobile Gerontopsychiatry Team : Retrospective Study

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT04760015

Enrollment

Registered

2021-02-18

Start date

2021-02-01

Completion date

2021-09-01

Last updated

2021-11-15

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Dementia

Keywords

Dementia disease, Disruptives vocalizations, agitation, cries, profil, characteristics

Brief summary

Patients with dementia develop behavioral problems over time. Among these, the investigators object screams or cries or disruptives vocalizations. Their cause is multifactorial and their management difficult in nursing homes. Often this patients are polymedicated, sedated or/and isolated. Many scientific studies are interested in drug and non-drug treatments. In this study, the investigators are looking for a profile for disruptives vocalizations's patients. Thus, the investigators will study the global profile of demented patients residing in EHPAD to determine if there are any similarities between them.

Interventions

None listed

Study design

Observational model

CASE_CONTROL

Time perspective

RETROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

75 Years to No maximum

Healthy volunteers

Inclusion criteria

* aged 75 years old and more * living in nursing homes * dementia * agitation and disruptives vocalizations * twice and more interventions by the Mobile Gerontopsychiatry Team

Exclusion criteria

\- no follow-up after team intervention

Design outcomes

Primary

Measure	Time frame	Description
Describe the profile of demented patients	2 years	Describe the profile of demented patients with disruptives vocalizations in EHPAD aged 75 and over, for whom an intervention of the Mobile Gerontopsychiatry Team (MGT) is requested. Determining the profile of the screaming residents in nursing home : age, sex, type of dementia, severity of dementia (MMSE score), co-morbidities, current treatments, sensory impairments, autonomy, environment (visits, outside workers, activities in the EHPAD, paramedical interventions, …), NPI-ES, psychological state (GDS).

Secondary

Measure	Time frame	Description
Efficiency of MGT's intervention on screams	2 years	Evaluate the effectiveness of the MGT's intervention on cries (increase, decrease, stop, lack of effectiveness).
Determination of predictive factors for MGT's effectiveness.	2 years	Determine what are the predictive factors of the effectiveness of the intervention of the MGT (time to call after onset of cries, characteristics of the patient and characteristics of the institution).
Determination if the delay between the symptom's beginning and intervention can influence their effectiveness.	2 years	Determine if the delay between the onset of screaming and the intervention of the MGT has an impact on the patient's mortality.
Determination if disruptives vocalizations could be a dementia premorbid symptom.	2 years	Determine whether screaming is a pre-morbid clinical sign by studying the time interval between the onset of screaming and the patient's death.

Countries

France

Outcome results