Evaluation of Medical and Social Care for Elderly Patients, Between Hospital and Home: TEMPORARY ACCOMMODATION Out of Hospitalization by Nursing Home and Long-Term Care Units in Ile-de-France Region
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- This is an observational study: the protocol does not assign a study treatment.
- Who it may be relevant to
- Registry conditions: Social Care, Medical Care, Elderly Patients. Basic parameters: from 60 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- France
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
Prospective, observational, non-interventional, comparative, multicenter RIPH3 study to investigate the impact of HTSH on length of hospital stay in referring services.
Detailed description
This is a multi-center study involving many hospital departments temporary accommodation at the end of hospitalization in several Nursing home/long term care units in Ile de France region. The temporary accommodation program was designed for elderly people living at home to find an accommodation solution in nursing home to meet a short-term need. Temporary accommodation beds are deployed and perpetuated in the Île-de-France region by the Regional Health Agency, physically grouped together in establishments within units with dedicated staff. The resources allocated to these beds have been increased. The aim of the study is to demonstrate the efficiency of the HTSH circuit, for elderly patients leaving hospital, in their medical and social care and the decision or not to return home. This project is supported by Regional Health Agency (ARS-IDF).
Primary outcome measures
- Study to investigate the impact of HTSH on length of hospital stay in referring services [Time frame: 24 months]
Secondary outcome measures (4)
- Analysis of pathways and plans for returning home [Time frame: 24 months]
- Analysis of HTSH patient profiles a) Proportion of eligible patients and their comorbidities b) Social profile + main reason for hospitalization of patients admitted to HTSH [Time frame: 24 months]
- Analysis of discharges and patient outcomes [Time frame: 24 months]
- Quality of life and caregiver benefit analysis [Time frame: 24 months]
Eligibility criteria
- Inclusion Criteria:
- Patient selection criteria
- Patient male or female at least 60 years of age, as initially defined with the Regional Health Agency, discharged from hospital,
- Oral expression of non opposition to participation in the study, documented in the medical record by the physician,
- Presenting a defined and feasible plan for returning home,
- Whose social/medical situation (stabilized) does not allow an immediate return home after hospitalization.
- Caregiver selection criteria
- Person with an unpaid caregiving activity for their relative in HTSH,
- Person verbally expressing their non-opposition to participating in the study, and documented in the medical record of the patient they are helping,
- A person who is able to understand the study questionnaires and evaluations, and is able to answer them without the help of a third party.
- Professional selection criteria
- Salaried professional, nursing or not, regularly and directly involved in the HTSH circuit, whether in hospital or in nursing home / long term care units, for at least 6 months,
- Oral expression of non opposition to participation in the study, documented by the establishment.
- Non-inclusion Criteria:
- Be already included in another clinical study,
- Benefit from a legal protection measure or be unable to express their consent, in accordance with article L1121-8 of the French Public Health Code.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Observational model
- Other
Study locations
France · 10 centers
- Résidence ZEMGOR — Cormeilles-en-Parisis
- EHPAD Pierre TABANOU — L'Haÿ-les-Roses
- Groupe Hospitalier Sud Ile de France (GHSIF) — Melun
- GHU Lariboisière — Paris
- Broca Hospital — Paris
- USDL Vaugirard, APHP — Paris
- Centre Hospitalier de Rambouillet — Rambouillet
- Centre Hospitalier de Versailles — Versailles
- … and 2 more centers
Identifiers
NCT: NCT06677645 · 2024-A00023-44