Ambulatory Care, Emergency Service, Hospital, Health Services for the Aged
Conditions
Keywords
Elderly, Geriatric sector, Autonomy
Brief summary
Several studies have shown that going to the emergency room is a risk factor for loss of independence in the elderly. It has been shown that the period following an emergency room visit without hospitalization is a period of vulnerability for the elderly. The functional decline, or loss of functional autonomy, of the elderly is associated with an increase in institutionalization, mortality and costs to society. Studies have highlighted the risk factors for functional decline in the elderly, such as pre-existing functional and cognitive decline, undernutrition, but no model of care has yet prevented the risk of loss of autonomy after a stay in the emergency room. A full and early geriatric assessment could prevent functional decline after the emergency room visit. The primary objective of the study is to assess the impact of a dedicated geriatric sector on the functional decline at 1 month of patients admitted to emergencies without hospitalization by comparing an intervention group (patient having benefited from the geriatric sector) and a group witness (classic emergency patient). The secondary objective is to evaluate the impact of this sector on the number of falls at home as well as the readmission rate within 1 month of going to the emergency room.
Interventions
OTHERActivities of Daily Living (ADL) questionnaire (The Katz index )
For patients cared for by the geriatric sector, questionnaire will be filled in at admission D0 and by phone at D30, for the classic emergency patients questionnaire will be submitted by phone the day following the consultation D1, and D30.
Sponsors
Hospices Civils de Lyon
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
75 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Age greater than or equal to 75 years * Emergency room consultation between 7:30 a.m. and 5:30 p.m. * Relevant to the adult emergency department * Return home after consultation
Exclusion criteria
* Age less than 75 years * Arrival time between 5.30 p.m. and 7.30 a.m. * Need to take care of unhooking * Belonging to the short sector, versatile sector * Patients hospitalized after consultation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change of functional decline at 1 month, measured by the Katz index, Activities of Daily Living (ADL) | At Baseline (admission to ermergencies) and 1 month | The Katz index, Activities of Daily Living (ADL) questionnaire, assess through 6 items (ranging from 0 to 1) the aptitude to execute daily life activities. |
Countries
France
Outcome results
None listed