Evolution of the Health Status of Caregivers After the Admission of Their Elderly Relative to the Emergency Department

Study Overview
=================
Brief Summary
-----------------
The main objective of this non-interventional, propective and multipercentric study is to Assess the evolution of caregiver burden 1 month after their elderly relative's Emergency Department (ED) admission

Detailed Description
-----------------
The aim purpose of this non-interventional, prospertive study is to compare the evolution of caregiver burden between inclusion and 1month after their elderly relative's ED admission. Inclusion of caregivers - patients dyads, meeting inclusion criteria and agreeing to participate, is carried out by geriatric mobile teams (EMG) working within Emergengy Department. At inclusion the following data will be collected: For the patient : Presence of neurocognitive disorders Sociodemographic data (age, gender, lifestyle) Patient comorbidities Autonomy and independence Risk of early readmission and loss of autonomy For the caregiver: Socio-demographic data The caregiver's burden Quality of life Resilience capacity will be measured The follow-up of the caregiver is carried out 1 month after the passage of his elderly relative to Emergency Department (at inclusion). The levels of burden and quality of life as well as the aids set up at home will be collected

Official Title
-----------------
Evolution of the Health Status of Caregivers After the Admission of Their Elderly Relative to the Emergency Department

Conditions
-----------------
Caregiver-patient Dyeds, Patient Without Cognitive Disorders

Intervention / Treatment
-----------------
* Other: Caregivers burden


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Adult caregivers - patients aged 75 and over dyads consulting in Emergency Department and living at home Patients admitted to the emergency department for less than 48 hours for which a return home is decided Non-verbal opposition of the patient and caregiver to the collection of their data. Exclusion Criteria: Hospitalized patient after emergency Patient admitted to emergency for life-saving emergency Patient living Nursing Home (EHPAD) Language barrier Absence of identified caregivers Severe cognitive impairment as per Diagnostic and Statistical Manual of Mental Disorders (DSM-5) criteria and absence relative at time of inclusion Patients under guardianship Oral opposition from the patient and caregiver to their data collection.

Ages Eligible for Study
-----------------
Minimum Age: 75 Years

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

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

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

Arms and Interventions

| Intervention/Treatment |
| --- |
|Other: Caregivers burden|Assessment of caregiver burden after admision at Emergency Department of their elderly relative|

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

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Measure of caregiver burden by the 7-item Zarit burden scale (Mini-zarit) |  | 1 month | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Assessment of patient's level of dependence through an appreciation of instrumental activities of daily living according Lawton scale |  | At inclusion | 
| Assessment of the degree of patient dependence according Index of Independence in Activities of Daily Living KATZ scale |  | At inclusion | 
| Assessment of complications risks according Triage Risk Screening Tool score (TRST) |  | At inclusion | 
| Assessment of cognitive state of elderly patients according Abbreviated Mental Test 4 score (AMT-4) | If score < 4 must search for neurocognitive disorders | At inclusion | 
| Assessment of commorbidity risk according Charlson score |  | At inclusion | 
| Assessment of quality of life of cargivers according SF-12 score |  | 1 month | 
| Measure of caregiver satisfaction according Likert scale |  | 1 month | 
| Measure of resilience capacities acoording Brief Resilience Scale (BRS) |  | At inclusion | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Caregiver-patient dyeds, Emergency Department