Evaluation of a Prototype for an Innovative Room for the Elderly

Study Overview
=================
Brief Summary
-----------------
The Groupement de Coopération Sanitaire des Hôpitaux Universitaires du Grand Ouest (GCS HUGO) (health cooperation group for university hospitals in the west of France), is proposing to improve the quality of geriatric care by modernizing hospital rooms. The GCS HUGO has embarked on a project to co-design a hospital room adapted for the elderly, called Hospi'Senior, with the help of the Dépendance et Grand âge (Dependency and Old Age) steering committee, made up of experts from HUGO's establishments and experts from several companies.

Detailed Description
-----------------
The main objective is to evaluate the effect of hospitalization in a Hospi'Senior room on the length of stay of elderly people compared with hospitalization in a conventional room for a similar admission reason. The secondary objectives are to evaluate the effect of hospitalization in a Hospi'Senior room for elderly people, compared with hospitalization in a conventional room for a similar admission reason, on : 2) Changes in functional abilities during the hospital stay and in the 30 days following discharge from the short-stay geriatric unit 3) Occurrence of behavioral disorders 4) Occurrence of falls during the hospital stay and in the 30 days following discharge from the short-stay geriatric unit 5) Occurrence and/or worsening of stage bedsores ≥ 2 during the hospital stay as classified by the National Pressure Ulcer Advisory Panel (NPUAP) 6) Occurrence of early rehospitalization

Official Title
-----------------
Evaluation d'un Prototype de Chambre Innovante adaptée au Grand Age

Conditions
-----------------
Elderly Inpatients

Intervention / Treatment
-----------------
* Behavioral: Hospi'Senior
* Behavioral: Conventional room


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Age ≥ 75 years Admission in a short-stay geriatric department following initial emergency care department Hospitalization in single room: Hospi'Senior or conventional Affiliation to a social security scheme Informed consent to participate in the study from the patient or his/her representative (tutor/curator if applicable, or in order of priority a trusted person, the family or a person with whom the person concerned has a close and stable relationship) Exclusion Criteria: Contraindication to study participation at the discretion of the medical team Hospitalization for more than 3 days (>3 days) in the short-stay geriatric unit Hospitalization in a double room Planned hospitalization Poor understanding of the French language Patient under safeguard of justice

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

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

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

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

Design Details

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


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Hospi'Senior group<br>Patients admitted to the Hospi'Senior room benefit from the innovative technologies available in this room. Patients benefit from standard care throughout their hospital stay. | Behavioral: Hospi'Senior<br>* The Hospi'Senior room is equipped with conventional furnishings (same bed and same armchair as a conventional room) to which have been added technological innovations and innovations in furnishings. Innovative technologies cover bed equipment, patient mobility (autonomous and assisted), lighting, communication and social space.<br>|
| Experimental: Conventional room group<br>Patients admitted to a conventional room receive the standard care throughout their hospital stay. | Behavioral: Conventional room<br>* The conventional room is a classic hospital room not equipped with the innovative technologies found in the Hospi'Senior room. The room is equipped with a bed, bedside table, adjustable bed table with castors and an armchair.<br>|

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

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Length of stay in the short-stay geriatric unit | The length of stay is measured in days | This outcome is assessed at the end of the geriatric unit stay (up to 2 months) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Changes in functional capabilities | Functional capabilities are assessed with Activities of Daily Living (ADL) score. ADL is an autonomy assessment grid (from 0 to 6) for basic activities of daily living. The lower the score, the more dependent the patient is. | This outcome is assessed at inclusion, on discharge (up to 2 months) and within 30 days of discharge from the short-stay geriatric unit | 
| Occurrence of behavioral disorders | Behavioral disorders are assessed with Neuropsychiatric Inventory-nursing home version (NPI-NH) score. For each scale domain, higher scores indicate greater neuropsychiatric symptomatology (range from 0 to 12/12). | This outcome is assessed at inclusion and on discharge (up to 2 months) | 
| Occurrence of falls | Number of falls observed during hospital stay and within 30 days of discharge from the short-stay geriatric unit | This outcome is assessed on discharge (up to 2 months) and within 30 days of discharge from the short-stay geriatric unit | 
| Occurrence and/or worsening of stage bedsores ≥ 2 | Occurrence and/or worsening of stage bedsores ≥ 2 during hospital stay | This outcome is assessed on discharge (up to 2 months) | 
| Occurrence of early rehospitalization | Number of unscheduled hospitalization in a Medicine-Surgery-Obstetrics (MSO) unit within 30 days of discharge from the short-stay geriatric unit | This outcome is assessed within 30 days of discharge from the short-stay geriatric unit | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Prototype, Care, Hospital Room, Elderly, Innovation