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| ID | Type | Description | Link |
|---|---|---|---|
| 2016-A00116-45 | Other Identifier | ID-RCB |
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The main objective of this project is to build a tool, adapted to the French geriatric population, that will predict the risk of death at three months after hospitalization in acute geriatric medicine. This tool will be built using selected items via a review of the literature published in 2015.
The 8 items of the CriSTAL tool will be collected prospectively in all patients hospitalized successively in the 2 post-emergency geriatric services (PUG) of the University Hospital of Toulouse, over a period of 9 months, by a dedicated clinical research associate. Patient survival will be assessed by obtaining the vital status of the cohort via CépiDC
As the population ages, the prevalence of chronic diseases increases. Let's take the example of cardiovascular, respiratory or neurological diseases, including Alzheimer's disease. These pathologies are at the origin of decompensations requiring sometimes multiple hospitalizations. It is clear that the goals of care (curative or palliative) are not always related to life expectancy. Decision making, especially in an acute context, is often tricky. The use of a tool with certain parameters of the patient could help to guide the reflection. The present study propose a tool proposed by an Australian team (CriSTAL), which lists items described in the literature as a risk factor for the death of elderly patients. This tool is currently being studied in several types of populations around the world (general population, cancer patients, hospitalized etc.).
This is a prospective study aimed at evaluating routine, single-center care, conducted at Toulouse University Hospital.
The successive inclusion of hospitalized patients in Post Emergencies Geriatric (PUG) unity will be carried out over a period of 9 months.
The primary outcome will be the vital status (alive / deceased) at 3 months of hospitalization in acute geriatric medicine.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Criteria for Screening and Triaging to Appropriate aLternative care | Other | CriSTAL Tool (Criteria for Screening and Treatment of Appropriate Long-Term Care) is a multidimensional geriatric tool that lists 18 elements of the literature, under construction and validation by an Australian retrospective study. This tool is a practical questionnaire and easy to use in current care, with items adapted to the geriatric dimension. The investigators chose to target hospitalized geriatric patients through emergencies. |
| Measure | Description | Time Frame |
|---|---|---|
| The vital status (alive / deceased) at 3 months | The vital status (alive / deceased) at 3 months of hospitalization in acute geriatric medicine.Survival will be collected in a data base. | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| The 8 items of the CriSTAL tool | Socio-demographic data of the geriatric patient in the emergencies | 3 months |
| The 8 items of the CriSTAL tool | The reason for admission of geriatric patients in the emergencies |
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Inclusion Criteria:
Exclusion Criteria:
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All consecutive patients above 65 years old hospitalized in the 2 departments of PUG Toulouse of University Hospital will be included, over a period of 9 months.
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| Name | Affiliation | Role |
|---|---|---|
| Fati Nourhashemi, MD | University Hospital, Toulouse | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital Toulouse | Toulouse | 31052 | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34824134 | Result | Steinmeyer Z, Piau A, Thomazeau J, Kai SHY, Nourhashemi F. Mortality in hospitalised older patients: the WHALES short-term predictive score. BMJ Support Palliat Care. 2021 Nov 25:bmjspcare-2021-003258. doi: 10.1136/bmjspcare-2021-003258. Online ahead of print. |
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| ID | Term |
|---|---|
| D003643 | Death |
| D008796 | Metrorrhagia |
| D004630 | Emergencies |
| ID | Term |
|---|---|
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D014592 | Uterine Hemorrhage |
| D014591 | Uterine Diseases |
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| ID | Term |
|---|---|
| D008403 | Mass Screening |
| ID | Term |
|---|---|
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
| D006306 | Health Surveys |
| D011795 | Surveys and Questionnaires |
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| 3 months |
| The 8 items of the CriSTAL tool | The variables potentially associated with the three-month death like Cognitive impairment | 3 months |
| The 8 items of the CriSTAL tool | The variables potentially associated with the three-month death : Hospitalization in intensive care during the last year | 3 months |
| The 8 items of the CriSTAL tool | ECG anomaly : ACFA, tachycardia, rhythm disorder> 5 per min, Q or ST segment abnormality | 3 months |
| D005831 | Genital Diseases, Female |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D000091662 | Genital Diseases |
| D006470 | Hemorrhage |
| D020969 | Disease Attributes |
| D003625 | Data Collection |
| D004812 | Epidemiologic Methods |
| D008919 | Investigative Techniques |
| D003954 | Diagnostic Services |
| D011314 | Preventive Health Services |
| D006296 | Health Services |
| D005159 | Health Care Facilities Workforce and Services |
| D017531 | Health Care Evaluation Mechanisms |
| D011787 | Quality of Health Care |
| D017530 | Health Care Quality, Access, and Evaluation |
| D011634 | Public Health |
| D004778 | Environment and Public Health |
| D015980 | Public Health Practice |