Home-based Nurse Intervention in the Care of High Risk of Death Patients After Discharge From Geriatric Department
NCT ID: NCT06481917
Last Updated: 2024-07-03
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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NOT_YET_RECRUITING
NA
104 participants
INTERVENTIONAL
2024-10-31
2027-10-31
Brief Summary
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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.
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
PREVENTION
SINGLE
Study Groups
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Advance care plan
Scheduling of 2 home visits by an expert nurse in the month following the return home and proposal to carry out an advance care plan.
Advance care plan
Scheduling of 2 home visits by an expert nurse in the month following the return home and proposal to carry out an advance care plan.
Ergonomic analysis
Ergonomic analysis throughout the intervention
Evaluation of intervention acceptability
Evaluation of intervention acceptability after each home visit with patients and caregivers using a questionnaire
Usual care
Usual care with the possibility of proposing ACP according to the department's habits
No interventions assigned to this group
Interventions
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Advance care plan
Scheduling of 2 home visits by an expert nurse in the month following the return home and proposal to carry out an advance care plan.
Ergonomic analysis
Ergonomic analysis throughout the intervention
Evaluation of intervention acceptability
Evaluation of intervention acceptability after each home visit with patients and caregivers using a questionnaire
Eligibility Criteria
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Inclusion Criteria
* 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
* 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.
75 Years
ALL
No
Sponsors
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Lille Catholic University
OTHER
Responsible Party
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Principal Investigators
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Fabien VISADE
Role: PRINCIPAL_INVESTIGATOR
Hôpital Saint Philibert, GHICL
Locations
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CHU d'Amiens
Amiens, , France
CHU de Caen
Caen, , France
CHU de Lille
Lille, , France
Hôpital Saint Vincent de Paul (GHICL)
Lille, , France
Hôpital Saint-Philibert (GHICL)
Lomme, , France
CHU de Rouen
Rouen, , France
Countries
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Central Contacts
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Facility Contacts
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Other Identifiers
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RC-P00119
Identifier Type: -
Identifier Source: org_study_id
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