Superiority of Intelligent Video Surveillance + Telealarm Over Telealarm Alone in Elderly People at Risk of Falling

NCT ID: NCT05875038

Last Updated: 2025-09-09

Study Results

Results pending

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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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

395 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-05-16

Study Completion Date

2026-12-31

Brief Summary

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Maintaining the elderly at home and preventing them from falling are major public health issues. The vast majority of elderly people wish to remain at home. The fear of a fall with prolonged standing is a frequent reason for institutionalization. There are few procedures that have been shown to be effective in preventing falls and their complications. Prolonged standing on the floor is a major complication that can lead to multiple events, including death.

Tele-alarms are widely used in France and in Europe, but their effectiveness in the event of a fall is poor and their use is restrictive (they require physical and mental capacities to activate). However, elderly people at risk of falling are often frail or dependent, suffering from cognitive disorders and sometimes polymorbid, which explains the large number of failures of tele-alarms. There are other alert systems, notably intelligent video surveillance systems such as the VA2CS. This is a video system placed in the home that analyzes the position of subjects in real time using algorithms based on artificial intelligence. The system works continuously without video capture and sends an alert with a photo if a person is lying down after a fall. The alert is confirmed after an operator has checked the photo capture on a dedicated platform. To date, it has a sensitivity and specificity of over 90% (manufacturer's data not published). Its performance is equivalent to other intelligent video surveillance systems published in the literature. This system is autonomous and does not rely on the abilities of the person at risk of falling. Intelligent video surveillance is an innovative technology which has not yet been evaluated in a geriatric care program, nor compared to a reference or analyzed from a quality of life or medico-economic perspective.

The hypothesis of this study is that intelligent video surveillance allows an exhaustive and early detection of the fall with a faster alert enabling to avoid prolonged standing on the ground and its consequences compared to the tele-alarm alone.

Detailed Description

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Conditions

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Intelligent Video Surveillance Fall Home Frail Elderly Person

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Intelligent Video Monitoring + Tele-alarm

Group Type EXPERIMENTAL

video system

Intervention Type OTHER

The video surveillance system will analyze the position of subjects in real time using algorithms based on artificial intelligence. The system works continuously without video capture and sends an alert with a photo if a person is lying down after a fall. The alert is confirmed after an operator has checked the photo capture on a dedicated platform.

Tele-alarm

Intervention Type OTHER

Tele-alarm

Tele-alarm only

Group Type ACTIVE_COMPARATOR

Tele-alarm

Intervention Type OTHER

Tele-alarm

Interventions

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video system

The video surveillance system will analyze the position of subjects in real time using algorithms based on artificial intelligence. The system works continuously without video capture and sends an alert with a photo if a person is lying down after a fall. The alert is confirmed after an operator has checked the photo capture on a dedicated platform.

Intervention Type OTHER

Tele-alarm

Tele-alarm

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Person aged 75 years or more
* hospitalized in an acute geriatric service or in a geriatric or multipurpose rehabilitation care service
* If living alone: receiving at least one visit per day from a relative or professional
* Recent history of fall and monopodal support \< 5 seconds
* Able to give informed consent.
* Return home considered complex by the patient or their relatives due to the risk of falling at home.

Exclusion Criteria

* Under legal protection
* Not affiliated to a social security system
* Confined to bed or chair
Minimum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hôpital Les Bateliers, CHU de Lille

UNKNOWN

Sponsor Role collaborator

Hôpital cardiologique, CHU de Lille

UNKNOWN

Sponsor Role collaborator

Hôpital Saint Philibert, GHICL

UNKNOWN

Sponsor Role collaborator

Hôpital Côte de Nacre, CHU de Caen

UNKNOWN

Sponsor Role collaborator

Hopital Charles Nicolle

OTHER

Sponsor Role collaborator

University Hospital, Rouen

OTHER

Sponsor Role collaborator

Centre Hospitalier de Saint-Quentin

UNKNOWN

Sponsor Role collaborator

Centre Hospitalier de Beauvais

OTHER

Sponsor Role collaborator

Centre Hospitalier de Valenciennes

NETWORK

Sponsor Role collaborator

CHU Peronne

UNKNOWN

Sponsor Role collaborator

Centre Hospitalier de l'Arrondissement de Montreuil-sur-mer

UNKNOWN

Sponsor Role collaborator

Centre Hospitalier Universitaire, Amiens

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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CHU Amiens Picardie

Amiens, Picardie, France

Site Status RECRUITING

Countries

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France

Central Contacts

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Guillaume Deschasse, MD

Role: CONTACT

03 22 08 80 00

Facility Contacts

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Guillaume DESCHASSE, Dr

Role: primary

03 22 45 57 20

Other Identifiers

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PI2019_843_0062

Identifier Type: -

Identifier Source: org_study_id

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