Study of the Interest of ECG Teletransmission in Retirement Home (EHPAD) In the Ile-de-France Region.

Study Overview
=================
Brief Summary
-----------------
The aim of the study is to evaluate the interest and the workability of ECG teletranmission in EHPAD in Île-de-France. ECG for the elderly is beneficial to detect or monitor cardiovascular disease.

Detailed Description
-----------------
Main objectives : Evaluate the workability of ECG uploaded by a caregiver who was trained before Evaluate the prevalence of ECG anomalies highlighted thanks to the realisation of an uploaded ECG (supraventricular and ventricular rhythm disorder and coronary pathology) Secondaries objectives : Evaluate the prevalence of unknown ECG anomalies and thus determine the number of new diagnostics highlighted thanks to uploaded ECG Evaluate the prevalence of ECG iatrogenic anomalies The study is observational, multicentre and prospective. It is going to include 3211 elderly living in EHPAD in Île-de-France. 150 EHPAD or involved in the study, they are split in two groups : 100 EHPAD will receive ECG and 50 EHPAD will not. This last group will enable to lead a comparative analysis, only global data about death will be collected. The study will last 36 months with 12 months of participation for each resident.

Official Title
-----------------
Study of the Interest of ECG Teletransmission in Retirement Home (EHPAD) In the Ile-de-France Region.

Conditions
-----------------
Cardiac Pathology, Residents of Retirement Home (EHPAD)

Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Elderly living in nursing homes (EHPAD) who requires electrocadiogram (ECG) due to : Cardiac pathology : coronary artery disease, heart failure, high blood pressure, diabetes, valvular disease, atrial fibrillation A medication which could causes electrocadiogram (ECG) anomalies Patients living in nursing homes (EHPAD) who give their agreement. Exclusion criteria : Protected adult under a protection of the court

Ages Eligible for Study
-----------------
Minimum Age: 60 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental arm<br>This group consists of 100 EHPAD which will benefit from ECG teletransmission. all data will be collected | |
| Control arm<br>This arm consists of 50 EHPAD that have not benefited from ECG teletransmission. Only the global death occurrence data will be analyzed, no individual data will be collected. | |

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Assessment of teletransmetted electrocardiogram (ECG) feasability (number of ECGs interpretable) | An interpretable ECG is defined by an absence of parasite, a stable baseline, an absence of argument of a malposition of electrodes, an unwinding paper speed: 25 mm / sec, a calibration of the amplitude | 12 months | 
| Assessment of prevalence of anomalies highlighted by performing an electrocardiogram. | The prevalence of anomalies highlighted by performing an electrocardiogram: supra-ventricular rhythm disorders, ventricular rhythm disorder and coronary pathologies. | 12 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Assessment of commorbidity risk and life expectancy according Charlson score. |  | 12 months | 
| Assessment of prevalence of unknown and iatrogenic anomalies according to the electrocardiogram |  | 12 months | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
ECG, Elderly EHPAD's resident, Cardiac desease