Provision of a Mobile Geriatric Team Extra-Community Hospital

Provision of a Mobile Geriatric Team Extra-Community Hospital in Assessing and Regulating the Hospitalization of Frail Elderly Patients With Complex Medical and Social Situation

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.

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