Study of the Interest of ECG Teletransmission in Retirement Home (EHPAD) In the Ile-de-France Region.

Gérond'if430 enrolled

Overview

The aim of the study is to evaluate the interest and the workability of ECG teletranmission in EHPAD in Île-de-France. ECG for the elderly is beneficial to detect or monitor cardiovascular disease.

Main objectives : * Evaluate the workability of ECG uploaded by a caregiver who was trained before * Evaluate the prevalence of ECG anomalies highlighted thanks to the realisation of an uploaded ECG (supraventricular and ventricular rhythm disorder and coronary pathology) Secondaries objectives : * Evaluate the prevalence of unknown ECG anomalies and thus determine the number of new diagnostics highlighted thanks to uploaded ECG * Evaluate the prevalence of ECG iatrogenic anomalies The study is observational, multicentre and prospective. It is going to include 3211 elderly living in EHPAD in Île-de-France. 150 EHPAD or involved in the study, they are split in two groups : 100 EHPAD will receive ECG and 50 EHPAD will not. This last group will enable to lead a comparative analysis, only global data about death will be collected. The study will last 36 months with 12 months of participation for each resident.

Study Type

OBSERVATIONAL

Enrollment

430

Conditions

Cardiac Pathology Residents of Retirement Home (EHPAD)

Eligibility

Sex: ALLMin age: 60 Years

Medical Language ↔ Plain English

Inclusion Criteria: Elderly living in nursing homes (EHPAD) who requires electrocadiogram (ECG) due to : * Cardiac pathology : coronary artery disease, heart failure, high blood pressure, diabetes, valvular disease, atrial fibrillation * A medication which could causes electrocadiogram (ECG) anomalies Patients living in nursing homes (EHPAD) who give their agreement. Exclusion criteria : Protected adult under a protection of the court

Locations (1)

Psychiatric Geriatric Department, Broca hospital

Paris, Île-de-France Region, France

Outcomes

Primary Outcomes

Assessment of teletransmetted electrocardiogram (ECG) feasability (number of ECGs interpretable)

An interpretable ECG is defined by an absence of parasite, a stable baseline, an absence of argument of a malposition of electrodes, an unwinding paper speed: 25 mm / sec, a calibration of the amplitude

Time frame: 12 months

Assessment of prevalence of anomalies highlighted by performing an electrocardiogram.

The prevalence of anomalies highlighted by performing an electrocardiogram: supra-ventricular rhythm disorders, ventricular rhythm disorder and coronary pathologies.

Time frame: 12 months

Secondary Outcomes

Assessment of commorbidity risk and life expectancy according Charlson score.

Time frame: 12 months

Assessment of prevalence of unknown and iatrogenic anomalies according to the electrocardiogram

Time frame: 12 months

Data from ClinicalTrials.gov

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