The Groupement de Coopération Sanitaire des Hôpitaux Universitaires du Grand Ouest (GCS HUGO) (health cooperation group for university hospitals in the west of France), is proposing to improve the quality of geriatric care by modernizing hospital rooms. The GCS HUGO has embarked on a project to co-design a hospital room adapted for the elderly, called "Hospi'Senior", with the help of the "Dépendance et Grand âge" (Dependency and Old Age) steering committee, made up of experts from HUGO's establishments and experts from several companies.
The main objective is to evaluate the effect of hospitalization in a Hospi'Senior room on the length of stay of elderly people compared with hospitalization in a conventional room for a similar admission reason. The secondary objectives are to evaluate the effect of hospitalization in a Hospi'Senior room for elderly people, compared with hospitalization in a conventional room for a similar admission reason, on : 2\) Changes in functional abilities during the hospital stay and in the 30 days following discharge from the short-stay geriatric unit 3) Occurrence of behavioral disorders 4) Occurrence of falls during the hospital stay and in the 30 days following discharge from the short-stay geriatric unit 5) Occurrence and/or worsening of stage bedsores ≥ 2 during the hospital stay as classified by the National Pressure Ulcer Advisory Panel (NPUAP) 6) Occurrence of early rehospitalization
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
200
The Hospi'Senior room is equipped with conventional furnishings (same bed and same armchair as a conventional room) to which have been added technological innovations and innovations in furnishings. Innovative technologies cover bed equipment, patient mobility (autonomous and assisted), lighting, communication and social space.
The conventional room is a classic hospital room not equipped with the innovative technologies found in the Hospi'Senior room. The room is equipped with a bed, bedside table, adjustable bed table with castors and an armchair.
Angers University Hospital
Angers, France
RECRUITINGBrest University Hospital
Brest, France
RECRUITINGNantes University Hospital
Nantes, France
RECRUITINGRennes University Hospital
Rennes, France
RECRUITINGTours University Hospital
Tours, France
RECRUITINGLength of stay in the short-stay geriatric unit
The length of stay is measured in days
Time frame: This outcome is assessed at the end of the geriatric unit stay (up to 2 months)
Changes in functional capabilities
Functional capabilities are assessed with Activities of Daily Living (ADL) score. ADL is an autonomy assessment grid (from 0 to 6) for basic activities of daily living. The lower the score, the more dependent the patient is.
Time frame: This outcome is assessed at inclusion, on discharge (up to 2 months) and within 30 days of discharge from the short-stay geriatric unit
Occurrence of behavioral disorders
Behavioral disorders are assessed with Neuropsychiatric Inventory-nursing home version (NPI-NH) score. For each scale domain, higher scores indicate greater neuropsychiatric symptomatology (range from 0 to 12/12).
Time frame: This outcome is assessed at inclusion and on discharge (up to 2 months)
Occurrence of falls
Number of falls observed during hospital stay and within 30 days of discharge from the short-stay geriatric unit
Time frame: This outcome is assessed on discharge (up to 2 months) and within 30 days of discharge from the short-stay geriatric unit
Occurrence and/or worsening of stage bedsores ≥ 2
Occurrence and/or worsening of stage bedsores ≥ 2 during hospital stay
Time frame: This outcome is assessed on discharge (up to 2 months)
Occurrence of early rehospitalization
Number of unscheduled hospitalization in a Medicine-Surgery-Obstetrics (MSO) unit within 30 days of discharge from the short-stay geriatric unit
Time frame: This outcome is assessed within 30 days of discharge from the short-stay geriatric unit
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