Clinical trial NCT05561101: Evolution of the Health Status of Caregivers After the Admission of Their Elderly Relative to the Emergency Department
Official title: Evolution of the Health Status of Caregivers After the Admission of Their Elderly Relative to the Emergency Department
Study type: OBSERVATIONAL
Overall status: UNKNOWN
Conditions: Caregiver-patient Dyeds
Patient Without Cognitive Disorders
Keywords: Caregiver-patient dyeds
Emergency Department
Lead sponsor: Gérond'if
Sponsor class: OTHER
First posted: 2022-09-30
Enrollment: 125
Sex: ALL
Minimum age (years): 75
Standard ages: OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: FAMILY_BASED
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Patients - caregivers dyads aged 75 years and over, after admission to the elderly Emergency Department, without indication for hospitalization and living at home outside Nursing Home (EHPAD)

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

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.

Primary outcomes:
measure: Measure of caregiver burden by the 7-item Zarit burden scale (Mini-zarit)
timeFrame: 1 month
Secondary outcomes:
measure: Assessment of patient's level of dependence through an appreciation of instrumental activities of daily living according Lawton scale
timeFrame: At inclusion
measure: Assessment of the degree of patient dependence according "Index of Independence in Activities of Daily Living" KATZ scale
timeFrame: At inclusion
measure: Assessment of complications risks according Triage Risk Screening Tool score (TRST)
timeFrame: At inclusion
measure: Assessment of cognitive state of elderly patients according Abbreviated Mental Test 4 score (AMT-4)
timeFrame: At inclusion
measure: Assessment of commorbidity risk according Charlson score
timeFrame: At inclusion
measure: Assessment of quality of life of cargivers according SF-12 score
timeFrame: 1 month
measure: Measure of caregiver satisfaction according Likert scale
timeFrame: 1 month
measure: Measure of resilience capacities acoording Brief Resilience Scale (BRS)
timeFrame: At inclusion
Other outcomes:
Locations:
city: Paris
country: France
facility: Emergency Department, Bichat Hospital
state: Ile-de-France
Study officials:
affiliation: Extern Geriatric Mobile Team
name: PATRY Claire, MD
role: STUDY_CHAIR
References: