Clinical trial NCT04621292: Prospective Study Assessing Two Scales for Identification of Complex Elderly Patients in the Emergency Department
Official title: Prospective Comparative Study of the SoCoLoc vs ISAR Scales for the Identification of Complex Elderly Patients in the Emergency Department of the Annecy Genevois Hospital.
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Geriatric
Lead sponsor: Centre Hospitalier Annecy Genevois
Sponsor class: OTHER
First posted: 2020-11-09
Enrollment: 141
Sex: ALL
Minimum age (years): 75
Standard ages: OLDER_ADULT
Accepts healthy volunteers: no
Observational model: CASE_CONTROL
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: The study will focus on patients aged 75 and over who consult the Emergency Department of the Annecy Geneva Hospital.

Brief summary: With the help of medical progress, life expectancy has increased in our country, resulting in an increase in the number of elderly people and especially so-called complex patients. These complex elderly patients present with a combination of poly pathology, locomotor disorders and loss of autonomy, which leads to increased risks of hospitalization, re-hospitalization or difficulty in remaining at home. These risks could be reduced by early adapted care specific to this type of patient. To do this, it is necessary to identify these complex elderly patients as early as possible in their care pathway.

Screening complex elderly patients in the emergency department would require trained and educated staff, or the use of a simple, rapid and reliable diagnostic scale. The purpose of this study is to compare two scales for the screening of complex elderly patients, whose use is adapted to the Hospital Emergency Department environment.

This study assess the diagnostic performance of the ISAR and SoCoLoc scales for complex elderly patients.

Detailed description: The assumption of the study is that at least one of these two scales (ISAR or SoCoLoc) is adapted to the constraints of hospital emergencies and that it presents good performances for the screening of elderly patients in complex medico-social situations (sensitivity ≥ 90% and specificity ≥ 50%).

Eligibility criteria: Inclusion Criteria:

* Patients over 75 years of age
* Patient presenting to the "Emergency Department" of the Annecy Genevois hospital, whatever the reason for consultation, from Monday to Friday between 8:00 a.m. and 8:00 p.m.
* Patient informed of the study and not opposed to participation

Exclusion Criteria:

* Patients under guardianship or curatorship
* Patients under the safeguard of justice
* Patient presenting for a life-threatening emergency
* Patient unable to answer the questions on the scales
* Patient does not speak French
* Patients who have already been included in the study: any patient already included in the study and making another trip to the emergency department cannot be included a second time.

Primary outcomes:
measure: Overall diagnostic performance of the two scales comparing the AUC
timeFrame: Up to emergency admission
Secondary outcomes:
measure: Sensitivity and specificity of the two scales
timeFrame: Up to emergency admission
measure: Number and proportion of complex elderly patients
timeFrame: Up to emergency admission
measure: Patient characteristics description
timeFrame: Up to emergency admission
Other outcomes:
Locations:
city: Metz-Tessy
country: France
facility: Centre Hospitalier Annecy Genevois
Study officials:
affiliation: CH Annecy Genevois
name: Bahman MOHEB KHOSRAVI
role: PRINCIPAL_INVESTIGATOR
References: