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ClinicalTrials.gov ID

NCT06481917

Lead Sponsor

Lille Catholic UniversityOTHER

Overall Status

Not yet recruiting

Study Type

Interventional

Phase

Not Applicable

Enrollment

104Estimated

Last Update Posted

Jul 3, 2024Actual

Start Date

Oct 2024Estimated

Primary Completion Date

May 2026Estimated

Completion Date

Oct 2027Estimated

Official Title

Feasibility and Effectiveness of a Specialized Home-based Nurse Intervention on the Completion of Advance Care Plans of Patients at High Risk of Death After Discharge From Acute Care Geriatric Departement

Brief Summary

This study consists to evaluate the feasibility of a case-management intervention of Advance Care Plan (ACP) placement for elderly patients at high risk of death at twelve months discharged alive from acute geriatric medicine.

Feasibility will include the following indicators: rate of patients included and randomized, rate of patients remaining in the study, ACP rates achieved at one month.

• Health Services for the Aged
• Advance Care Planning

• Advance care plan
• Ergonomic analysis
• Evaluation of intervention acceptability

Ages Eligible for Study

Older Adult (65+)

Sexes Eligible for Study

All

Accepts Healthy Volunteers

No

Eligibility Criteria

Inclusion Criteria:

• Patients aged 75 or over.
• Affiliated to a social security scheme.
• Hospitalized in an acute care geriatric department
• Discharged from hospital to home or residential facilities for dependent elderly people
• Targeted pathology or at least one incurable disease.
• At high risk of death in the twelve months following discharge according to the DAMAGE prognostic score (high-risk score group). A high risk of death is defined by a DAMAGE score > 50%.
• Rockwood Clinical frailty scale score greater than or equal to 7 at one month.

Exclusion Criteria:

• Refusal to participate in the study expressed by the patient or his/her legal representative, if applicable.
• Patients transferred to another Medicine-Surgery-Obstetrics department (only "medicine or surgery" in the elderly).
• Patients transferred to follow-up care and rehabilitation, palliative care, or returning home in palliative care.
• Patients who have already drawn up advance directives, chosen a trusted support person or discussed their end-of-life wishes with their doctor.
• Patients with proven severe neuro-cognitive disorders (in the medical record with a Mini-Mental State Examination (MMSE) score below 10 or in the absence of knowledge of the degree of severity and/or a recent previous MMSE score taken in a stable period, the referring practitioner, a geriatrician with expertise in this field, will assess whether the patient is unfit to state his or her advance directives at the time of inclusion.

Primary Purpose

Prevention

Allocation

Randomized

Interventional Model

Parallel Assignment

Masking

Single

Lead Sponsor

Lille Catholic UniversityOTHER

villain-c@chu-caen.fr0231065344 ext. +33

Jeanbaptiste.BEUSCART@chru-lille.fr

Maciejasz.pierre@ghicl.net0320874910 ext. +33

Visade.Fabien@ghicl.net

Frederic.roca@chu-rouen.fr0232889039 ext. +33