Preventing dependence in elderly patients during hospital stays
Preventing Iatrogenic Dependence Linked to Hospitalisation in Elderly Patients Hospitalised in Acute Geriatrics
This study is testing a new program to help elderly patients in the hospital stay independent and avoid problems like falls and confusion by training healthcare staff on better care practices.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 2200 (estimated) |
| Ages | 75 Years and up |
| Sex | All |
| Sponsor | Assistance Publique - Hôpitaux de Paris Academic / other |
| Locations | 1 site (Paris) |
| Trial ID | NCT06449053 on ClinicalTrials.gov |
What this trial studies
This clinical trial aims to reduce iatrogenic dependence linked to hospitalization (DILH) in elderly patients aged 75 and over by implementing the TAKE CARE intervention. The intervention focuses on educating healthcare staff about best practices to address the six main causes of DILH, including immobilization, falls, undernutrition, urinary incontinence, confusion, and drug side effects. The study will be conducted as a multicenter, randomized, cluster trial across 11 acute geriatric units, comparing the effectiveness of the TAKE CARE intervention against usual care. The goal is to promote better patient outcomes and maintain functionality during hospital stays.
Who should consider this trial
Good fit: Ideal candidates for this study are elderly patients aged 75 and older who are hospitalized for acute conditions without prior post-operative or post-resuscitation care.
Not a fit: Patients who are completely dependent on assistance for daily activities prior to hospitalization or those who have been in another facility for more than 72 hours before admission may not benefit from this study.
Why it matters
Potential benefit: If successful, this intervention could significantly reduce the incidence of DILH, improving the quality of life and independence of elderly patients post-hospitalization.
How similar studies have performed: Other studies have indicated that targeted interventions can effectively reduce hospital-related complications in elderly patients, suggesting a promising potential for this approach.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age ≥ 75 ans * Unscheduled hospitalisation in one of the participating departments for an acute pathology, excluding post-operative care Exclusion Criteria: * Patients with a usual ADL score (assessed 15 days before hospitalisation) of 0 * Stay \> 72 hours in another facility before admission to UGA * Opposition to participation in the study (trusted support person / guardian - curator) * Not affiliated to a social security scheme (beneficiary or beneficiary entitled) * Patient under AME
Where this trial is running
Paris
- Hôpital Pitié-Salpêtrière — Paris, France (Recruiting)
Study contacts
- Study coordinator: Jacques BODDAERT, Pr
- Email: jacques.boddaert@aphp.fr
- Phone: 01 42 16 41 17
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.