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

Обзор

Prospective, observational, non-interventional, comparative, multicenter RIPH3 study to investigate the impact of HTSH on length of hospital stay in referring services.

Подробное описание

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).

Первичные конечные точки

• Study to investigate the impact of HTSH on length of hospital stay in referring services [Срок оценки: 24 months]

Вторичные конечные точки (4)

• Analysis of pathways and plans for returning home [Срок оценки: 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 [Срок оценки: 24 months]
• Analysis of discharges and patient outcomes [Срок оценки: 24 months]
• Quality of life and caregiver benefit analysis [Срок оценки: 24 months]

Критерии участия

• 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.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Модель наблюдения

Другое

Центры проведения

Франция · 10 центров

• 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
• … и ещё 2 центра

Идентификаторы

NCT: NCT06677645 · 2024-A00023-44

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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