Does the Intervention of an Advanced Practice Nurse for Nursing Home Residents Aged 75 and Over in the Grand Nancy Area Make it Possible to Reduce the Use of the Emergency Service for These Residents?
NCT ID: NCT05626946
Last Updated: 2022-11-25
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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UNKNOWN
400 participants
OBSERVATIONAL
2023-05-31
2023-06-30
Brief Summary
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Nursing Home residents represent 14% of these emergency room visits and only 5% of them on average are not hospitalised and return to their original Nursing Home.
A retrospective study of patients aged 75 and over referred to the emergency department of the Nancy Hospital by the Nursing Homes over a six-month period showed that nearly 30% of patients aged 75 and over referred by their Nursing Home were rehospitalized during the period studied, 1/3 for the same reason and 2/3 for other reasons.
The intervention of an Advanced Practice Nurse (IPA) attached to geriatric practice, among other things, as an interface between Nursing Home and the hospital therefore seems to have its place in improving the care pathway for the elderly.
The assessment by an Advanced geriatric Practice Nurse of residents of Nursing Home aged 75 and over in Grand Nancy area one week after a visit to the emergency room significantly reduces the number of new visits to the emergency room by these residents over a follow-up period of seven months, compared with residents of Nursing homes aged 75 and over (outside Grand Nancy area) who do not benefit from an assessment by an Advanced Practice Nurse.
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Detailed Description
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Conditions
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Study Design
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CASE_CONTROL
RETROSPECTIVE
Study Groups
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Nursing Home resident from Grand Nancy area with Advanced Practice Nurse intervention
Patients aged 75 years and over, resident in Nursing Home at the time of inclusion, and received at least once in the emergency room of the Nancy Hospital during the period concerned. Inclusion in the group with IPA intervention for Nursing Home residents of the Grand Nancy area where the Advanced Practice Nurse is authorised to intervene.
Observation
Observation
Nursing Home resident outside Grand Nancy area without Advanced Practice Nurse intervention
Patients aged 75 years and over, resident in Nursing Home at the time of inclusion, and received at least once in the emergency room of the Nancy Hospital during the period concerned. Inclusion in the control group for Nursing Home residents outside the Grand Nancy area without the Advanced Practice Nurse intervention.
Observation
Observation
Interventions
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Observation
Observation
Eligibility Criteria
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Inclusion Criteria
* Elderly men and women 75 years of age and older at the time of the emergency room visit
* Having for main residence one of the nursing homes
* Administratively present in the emergency department
Exclusion Criteria
* Residing at home or in a senior residence
* Referred by an inpatient department (rehabilitation department)
75 Years
ALL
No
Sponsors
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Mahmut GUNDESLI MD
UNKNOWN
Manon DUPRE, internship
UNKNOWN
Central Hospital, Nancy, France
OTHER
Responsible Party
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BOURDAIRE Victoire
Medical Doctor - Hospital Practitioner
Locations
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CHRU de Nancy
Vandœuvre-lès-Nancy, , France
Countries
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Central Contacts
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Facility Contacts
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Other Identifiers
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2022PI165
Identifier Type: -
Identifier Source: org_study_id
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