Clinical trial NCT04683380: Robustness Predictive Factors in People Aged Over 75 Years After Going to the Emergency Room (ROB-U)
Official title: Study of the Robustness Predictive Factors in People Aged Over 75 Years After Going to the Emergency Room
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Aging
Emergency Room
Risk Factors
Keywords: Elderly dependence
Emergency room visits
Lack of autonomy
Robustness
Re-hospitalization
Lead sponsor: Lille Catholic University
Sponsor class: OTHER
First posted: 2020-12-24
Enrollment: 110
Sex: ALL
Minimum age (years): 75
Standard ages: OLDER_ADULT
Accepts healthy volunteers: no
Observational model: OTHER
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: The study population is composed of patients aged more than 75 years old and who have eligibility criteria.

Brief summary: After emergency room visits, the elderly patients can increase their dependence and functional decline. In this context the goal of this study is to demonstrate that there are robustness predictive factors after visit to the emergency room.

Detailed description: The emergency department is one of the main access routes to the hospital for elderly patients.

Older age is often associated with an increase risk of longer stay in the emergency room with a high subsequent risk of hospital re-admission. One of the essential care objectives when treating these patients is to maintain the autonomy to avoid any dependence in order to keep the quality of life, and limit the time of hospitalization.

Emergency room visits and hospitalizations are too often considered as a source of autonomy loss aggravation in the elderly. Many studies have demonstrated the mortality predictive factors existence, functional decline, or re-hospitalization of the elderly after an emergency room visit or after hospitalization.

No study until now has investigated the existence of factors directly predictive of robustness. Then the goal of this study is to demonstrate that there are robustness predictive factors after going to the emergency room.

Eligibility criteria: Inclusion Criteria:

* Patients admitted to the emergency room
* Patients aged ≥ 75 years old
* Patients without cognitive disorders or vigilance disorders
* Patients living at home
* Patients able to give its non-opposition

Non inclusion Criteria:

* Patients admitted to the hospital in the last 3 months
* Patients refusing to participate in the study

Exclusion Criteria:

* Patients whose stay is \< 14h or \> 48h
* Patients who die during hospitalization
* Patient not hospitalized
* Patient not returning home after discharge from hospital

Primary outcomes:
measure: Identification of predictive factors of robustness : Autonomy level at home (ADL score)
timeFrame: 3 months
measure: Identification of predictive factors of robustness by a questionnaire (help at home)
timeFrame: 3 months
measure: Identification of predictive factors of robustness by a questionnaire (family visits)
timeFrame: 3 months
measure: Identification of predictive factors of robustness by a questionnaire (appetit)
timeFrame: 3 months
measure: Identification of predictive factors of robustness (heart rate)
timeFrame: 3 months
measure: Identification of predictive factors of robustness (Modified Triage Risk Screening Tool (TRST)) score
timeFrame: 3 months
measure: Identification of predictive factors of robustness : BMI (Body Mass Index)
timeFrame: 3 months
measure: Albuminemia
timeFrame: 3 months
measure: Identification of predictive factors of robustness : Lifestyle
timeFrame: 3 months
measure: Sleep assessment using a Visual Analog Scale (VAS).
timeFrame: 3 months
Secondary outcomes:
measure: Rate of re-hospitalization
timeFrame: 3 months
measure: Rate of patient survival
timeFrame: 3 months
measure: Rate of lack of Institutionalization
timeFrame: 3 months
Other outcomes:
Locations:
city: Lille
country: France
facility: Saint-Vincent Hospital
state: Haut-de-France
Study officials:
affiliation: Hôpital Saint-Vincent de Paul
name: Jean Bouquillon
role: PRINCIPAL_INVESTIGATOR
References: