Provision of a Mobile Geriatric Team Extra-Community Hospital

University Hospital, Grenoble334 enrolled

Overview

The purpose of this study is to demonstrate the effectiveness of the mobile unit to reduce the geriatric hospital inappropriate (especially for emergencies) to 1 month. The primary endpoint: survival without hospitalization through the emergency inappropriate to 1 month.

The purpose of this study is to assess the effectiveness of the Mobile Geriatrics on the management of complex situations in retirement homes and in ambulatory care of frail elderly patients, reported by the generalist doctor, in terms of improving the conditions of use technical support hospital follow-up recommendations given by the mobile team and their impact on outcomes of care.

Study Type

OBSERVATIONAL

Enrollment

334

Conditions

Geriatric Disorder Mobil Unit

Interventions

home visitOTHER

home visit of UMG

telephone managementOTHER

telephone management of the situation reported by the patient's GP

Eligibility

Sex: ALLMin age: 75 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patient aged 75 and over living in complex medical or psycho-social complex or at risk of hospitalization * Patient affiliated to social security or beneficiary of such a regime * Patient available for follow-up to 6 months with a caregiver or accompanying social duly appointed. Exclusion Criteria: * Patient residing outside intervention sector * Life-threatening emergency (ambulance) * Lack of complexity of the situation, supported by routine care

Locations (3)

CH Annecy

Annecy, France

University Hospital of Grenoble

Grenoble, France

CH Roanne

Roanne, France

Outcomes

Primary Outcomes

effectiveness of the visit of the mobile unit to reduce the geriatric hospital inappropriate (especially for emergencies) to 1 month

inappropriate survival without hospitalization through the emergency room at 1 month

Time frame: 1 month

Secondary Outcomes

follow-up rate of the proposals of UMG ext (adherence to recommendations and feasibility) and analyze the reasons for not monitoring these proposals one month

follow-up of recommendations made by the mobile unit of Geriatrics

Time frame: 1 month

survival without hospitalization inappropriate, mortality, changes in functional status and cognitive health care consumption up to 6 months of surgery

Unplanned hospitalization rates obtained by telephone follow-up at 3 and 6 months

Time frame: 6 months

effectiveness of the visit of the mobile geriatric home versus telephone follow-up of mobile geriatric unit

Analysis of sub-groups

Time frame: 6 months

needs and difficulties of attending physicians in the care of frail elderly patients with complex medical and social situation before and after the establishment of mobile units for geriatrics.

Questionnaire to GPs in the health sector concerned

Time frame: 1 year

cost effectiveness of two types of visit of the mobile unit of Geriatrics (telephone regulation and control over travel home phone)

Cost of hospitalization.

Time frame: 6 months

Data from ClinicalTrials.gov

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