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| ID | Type | Description | Link |
|---|---|---|---|
| 2020-A00211-38 | Other Identifier | ID-RCB |
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Several studies have shown that going to the emergency room is a risk factor for loss of independence in the elderly. It has been shown that the period following an emergency room visit without hospitalization is a period of vulnerability for the elderly.
The functional decline, or loss of functional autonomy, of the elderly is associated with an increase in institutionalization, mortality and costs to society.
Studies have highlighted the risk factors for functional decline in the elderly, such as pre-existing functional and cognitive decline, undernutrition, but no model of care has yet prevented the risk of loss of autonomy after a stay in the emergency room.
A full and early geriatric assessment could prevent functional decline after the emergency room visit.
The primary objective of the study is to assess the impact of a dedicated geriatric sector on the functional decline at 1 month of patients admitted to emergencies without hospitalization by comparing an intervention group (patient having benefited from the geriatric sector) and a group witness ("classic" emergency patient).
The secondary objective is to evaluate the impact of this sector on the number of falls at home as well as the readmission rate within 1 month of going to the emergency room.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients cared for by the adult sector | Patients admitted to emergencies, non-hospitalized and cared for by the adult sector of emergencies (classical emergencies) |
| |
| Patients cared for by the geriatric sector | Patients admitted to emergencies, non-hospitalized and cared for by the geriatric sector of emergencies |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Activities of Daily Living (ADL) questionnaire (The Katz index ) | Other | For patients cared for by the geriatric sector, questionnaire will be filled in at admission D0 and by phone at D30, for the "classic" emergency patients questionnaire will be submitted by phone the day following the consultation D1, and D30. |
| Measure | Description | Time Frame |
|---|---|---|
| Change of functional decline at 1 month, measured by the Katz index, Activities of Daily Living (ADL) | The Katz index, Activities of Daily Living (ADL) questionnaire, assess through 6 items (ranging from 0 to 1) the aptitude to execute daily life activities. | At Baseline (admission to ermergencies) and 1 month |
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Inclusion Criteria:
Exclusion Criteria:
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Elderly patients admitted to emergencies without hospitalization
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| Name | Affiliation | Role |
|---|---|---|
| Jessica POINTURIER | Centre Hospitalier Alpes Léman, service des urgences | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Centre Hospitalier Alpes Léman, service des urgences | Contamine-sur-Arve | France |
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|
| ID | Term |
|---|---|
| D004630 | Emergencies |
| ID | Term |
|---|---|
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D000203 | Activities of Daily Living |
| D011795 | Surveys and Questionnaires |
| ID | Term |
|---|---|
| D012046 | Rehabilitation |
| D000359 | Aftercare |
| D003266 | Continuity of Patient Care |
| D005791 | Patient Care |
| D013812 | Therapeutics |
| D006296 | Health Services |
| D005159 | Health Care Facilities Workforce and Services |
| D003625 | Data Collection |
| D004812 | Epidemiologic Methods |
| D008919 | Investigative Techniques |
| 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 |
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