Incidence of pNeumonia and Related ConseqUences in Nursing Home Residents

University Hospital, Toulouse800 enrolled

Overview

In the present proposal, we hypothesize that specifically targeting pneumonia events with preventive interventions in the French EHPAD (Etablissements d'Hébergement pour Personnes Agées Dépendantes) setting (thus, improving the health status and quality of life of patients) may simultaneously produce relevant reductions in the healthcare costs. In fact, although the number of pneumonia cases may be numerically limited, the consequences of each event are potentially catastrophic for both the patient and the healthcare system. Unfortunately, to date, information about the incidence and economical effects of pneumonia in the older population living in the French EHPAD are extremely scare. To adequately evaluate whether there is room to implement preventive interventions aimed at reducing the onset of pneumonia in a cost-effective fashion on a large scale, preliminary data from this specific population are needed. This first step is crucial towards the appropriate design and conduction of possible future large-scale intervention trials in the EHPAD setting.

Study Type

OBSERVATIONAL

Enrollment

800

Conditions

Pneumonia

Interventions

Data collection on pneumonia eventsOTHER

Eligibility

Sex: ALLMin age: 60 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Groups Iso-Resources (GIR) ranging between 5 (included) and 2 (included) * Ability and willingness to participate to the study and to provide informed consent * Agreement with the patient's physician about the enrolment to the study Exclusion Criteria: * Refusal of the EHPAD to participate * Patients with severe disability (GIR 1) * Patients with no evidence of functional impairment (GIR 6) * Patients living in the participating EHPAD for less than 30 days since the baseline study visit

Outcomes

Primary Outcomes

Incidence of pneumonia

Estimate the incidence of pneumonia events in a sample of 800 older patients living in 30 EHPADs over a period of 12 months

Time frame: months 12

healthcare costs

To compare the healthcare costs of participants experiencing a pneumonia event versus those who will not in a random sample of 800 older patients living in 30 EHPADs over a period of 12 month

Time frame: months 12

Secondary Outcomes

Mortality risk

To calculate the mortality risk in a random sample of 800 EHPAD older patients according to the presence/absence of a pneumonia event occurred during a follow-up period of 12 months

Time frame: Months 12

Physical Function

To measure the physical function modifications experienced by a random sample of 800 EHPAD older patients according to the presence/absence of a pneumonia event occurred during a follow-up period of 12 months