Characteristics of Patients With Dementia Who Are Screaming in Nursing Homes

Study Overview
=================
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.

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

Conditions
-----------------
Dementia

Participation Criteria
=================
Eligibility Criteria
-----------------
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

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

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

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

Study Plan
=================
How is the study designed?
-----------------
What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Describe the profile of demented patients | 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). | 2 years | 

Secondary Outcome Measures

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

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Dementia disease, Disruptives vocalizations, agitation, cries, profil, characteristics