After emergency room visits, the elderly patients can increase their dependence and functional decline. In this context the goal of this study is to demonstrate that there are robustness predictive factors after visit to the emergency room.
The emergency department is one of the main access routes to the hospital for elderly patients. Older age is often associated with an increase risk of longer stay in the emergency room with a high subsequent risk of hospital re-admission. One of the essential care objectives when treating these patients is to maintain the autonomy to avoid any dependence in order to keep the quality of life, and limit the time of hospitalization. Emergency room visits and hospitalizations are too often considered as a source of autonomy loss aggravation in the elderly. Many studies have demonstrated the mortality predictive factors existence, functional decline, or re-hospitalization of the elderly after an emergency room visit or after hospitalization. No study until now has investigated the existence of factors directly predictive of robustness. Then the goal of this study is to demonstrate that there are robustness predictive factors after going to the emergency room.
Study Type
OBSERVATIONAL
Enrollment
110
Saint-Vincent Hospital
Lille, Haut-de-France, France
Identification of predictive factors of robustness : Autonomy level at home (ADL score)
ADL self-performance coding ranges from 0 (independent) to 4 (total dependence).
Time frame: 3 months
Identification of predictive factors of robustness by a questionnaire (help at home)
Need of help at home such as : toilet, breakfast, lunch, dinner (yes or not)
Time frame: 3 months
Identification of predictive factors of robustness by a questionnaire (family visits)
Number of family visits
Time frame: 3 months
Identification of predictive factors of robustness by a questionnaire (appetit)
loss of appetite (yes or not)
Time frame: 3 months
Identification of predictive factors of robustness (heart rate)
Heart rate during hospitalization (minimum and maximum values)
Time frame: 3 months
Identification of predictive factors of robustness (Modified Triage Risk Screening Tool (TRST)) score
The TRST score is a tool to predict repeat emergency department visits and hospitalizations in older patients discharged from the emergency department; This tool evaluates 5 dimensions : cognitive disorders presence, walking disorders, polymedication, hospitalization antecedents and functional assessment (loss of autonomy). Every dimension is worth 1 point if the patient presents the disorder. The final maximum score is 5 points.
Time frame: 3 months
Identification of predictive factors of robustness : BMI (Body Mass Index)
Body mass index
Time frame: 3 months
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Albuminemia
Rate of Albuminemia
Time frame: 3 months
Identification of predictive factors of robustness : Lifestyle
Lifestyle: person living alone (yes or not)
Time frame: 3 months
Sleep assessment using a Visual Analog Scale (VAS).
This scale allows patients to assess their fatigue. The patients locate their fatigue intensity on a 100-millimeters horizontal line. Using a ruler, the score is determined by measuring the distance (mm) on the 10-cm line between the "no pain" anchor and the patient's mark, providing a range of scores from 0-100. A higher score indicates greater pain intensity.
Time frame: 3 months
Rate of re-hospitalization
Only direct re-hospitalizations in emergency rooms and geriatric short stay will be counted
Time frame: 3 months
Rate of patient survival
Rate of patient survival
Time frame: 3 months
Rate of lack of Institutionalization
Rate of lack of Institutionalization
Time frame: 3 months