Assessment of an Automated Telesurveillance System on the Incidence of Serious Falls in Nursing Homes

Study Overview
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Brief Summary
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3 Nursing homes in the Limousin region will be equipped with the automated telesurveillance system. Patient will be selected by general practitioner and randomized into two groups after informed consent. One group will have cameras installed and the other will not and will act as a comparison group. Patient will be assessed three times during the study, at inclusion, 6 months and 12 months. Each assessment is composed of a standard geriatric assessment, a fall questionnaire, an autonomy scale (SMAF scale) and a quality of life questionnaire (EQ5D). Every falls will be considered as adverse events and will therefore be listed along the study and characterized in types and number.

Official Title
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Assessment of an Automated Telesurveillance System on the Incidence of Serious Falls in Nursing Homes

Conditions
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The Elderly of 75 Years and Living in Nursing Homes

Intervention / Treatment
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* Other: It will then allow them to intervene at the right time and the right place


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patient aged more than 75 years old Patient living in Limoges or Gueret nursing home Patient informed consent and/or proxy consent Patient able to understand the study, respect its imperatives and able to do evaluations Patient able to stand up from the bed Patient covered by the French health insurance Exclusion Criteria: Patient with a short term prognosis pathology In multiple bed rooms, if at least one patient does not agree with the trial

Ages Eligible for Study
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Minimum Age: 75 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| intervention group<br>Patient in the intervention group will have camera installed in their room. These cameras can either work in visible or infrared range. They are physically linked to a server that will store and analyze images in real-time. The server works 24h/24 and 7d/7 and will send an alert to the care personnel via their computers and personal pagers if it detects an anomaly. Anomaly could be falls, high risk behavior (patient standing up on its bed), abnormal length of stay in the bathroom, prolonged inertia. It will then allow them to intervene at the right time and the right place. Geriatrician can also review images in order to determine the cause of the incident and then act on each patient prevention and care strategy | Other: It will then allow them to intervene at the right time and the right place<br>* The server works 24h/24 and 7d/7 and will send an alert to the care personnel via their computers and personal pagers if it detects an anomaly. Anomaly could be falls, high risk behavior (patient standing up on its bed), abnormal length of stay in the bathroom, prolonged inertia. It will then allow them to intervene at the right time and the right place. Geriatrician can also review images in order to determine the cause of the incident and then act on each patient prevention and care strategy.<br>|
| non-equipped group<br>Patient in the non-equipped group will have usual care | Other: It will then allow them to intervene at the right time and the right place<br>* The server works 24h/24 and 7d/7 and will send an alert to the care personnel via their computers and personal pagers if it detects an anomaly. Anomaly could be falls, high risk behavior (patient standing up on its bed), abnormal length of stay in the bathroom, prolonged inertia. It will then allow them to intervene at the right time and the right place. Geriatrician can also review images in order to determine the cause of the incident and then act on each patient prevention and care strategy.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The impact of the automated telesurveillance system on the risk ratio of falls | The impact of the automated telesurveillance system on the risk ratio of falls with serious outcomes between the two groups at one year | one year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The impact of the system on global risk of falling |  | 1 year | 
| The impact of the system on autonomy loss |  | 1 year |