Feasibility Assessment of Implementing a Care System to PREVENT Iatrogenic Dependency (ID)

Study Overview
=================
Brief Summary
-----------------
To assess the feasibility of a care system to prevent iatrogenic dependency during hospitalisation in people 70 years old and over. 2 cares units participate : one with routine care and the other with a care system to prevent ID. The caregivers of this unit receive training about iatrogenic dependency and how prevent it. They set up this prevention and the research compare evolution of dependence hospitalized patients.

Official Title
-----------------
Feasibility Assessment of Implementing a Care System to PREVENT Iatrogenic Dependency (ID) Related to Hospitalization in People Over 70 Years : Pilot Study. PREVENT-ID

Conditions
-----------------
Aged

Intervention / Treatment
-----------------
* Other: Care system to prevent ID
* Other: Routine care


Participation Criteria
=================
Eligibility Criteria
-----------------
inclusion criteria: Patient (male or female) aged 70 and over, Patient hospitalized for at least 48 hours in the participating center Persons affiliated to a social security system, The patient, his trusted person or a relative present during his hospitalization have not expressed opposition to his participation in the research.. exclusion criteria: End of life situation, ADL at 0/6 for 15 days before hospitalization. Refusal to participate, Patient under judicial protection

Ages Eligible for Study
-----------------
Minimum Age: 70 Years

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

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

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

Design Details

Primary Purpose: Prevention
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: ID prevention unit<br>One healthcare unit will implement the healthcare system for the prevention of iatrogenic dependency (ID) and one healthcare unit will provide standard care without any specific system in place. | Other: Care system to prevent ID<br>* The caregivers of this unit receive training about iatrogenic dependency and how prevent it. They set up this prevention and the research compare evolution of dependence hospitalized patients.<br>|
| Sham Comparator: Control unit<br>One healthcare unit will implement the healthcare system for the prevention of iatrogenic dependency (ID) and one healthcare unit will provide standard care without any specific system in place. | Other: Routine care<br>* standard care without any specific system in place<br>|

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

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| number of participants with loss of independence | loss of independence is defined as a decrease of at least 0.5 points in Activities of Daily Living (ADL) scale between admission and discharge of the patient within 15 days of admission to the ward, regardless of when this event occurs during the hospitalization. | 15 days | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
prevention, elderly, dependance, hospitalization