Temporary nursing‑home accommodation for older people leaving hospital in Île‑de‑France
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
This study will test whether short-term nursing‑home stays for people aged 60 and older leaving hospital shorten hospital stays and help them return home.
Quick facts
| Study type | Observational |
|---|---|
| Enrollment | 258 (estimated) |
| Ages | 60 Years and up |
| Sex | All |
| Sponsor | Gérond'if Academic / other |
| Locations | 10 sites (Cormeilles-en-Parisis and 9 other locations) |
| Trial ID | NCT06677645 on ClinicalTrials.gov |
What this trial studies
This is a prospective, observational, multicenter RIPH3 study comparing discharge pathways that use temporary nursing‑home accommodation versus usual care across several sites in the Île‑de‑France region. Temporary accommodation beds are grouped in nursing homes with dedicated staff and were expanded by the Regional Health Agency to meet short‑term needs for older people who cannot immediately return home. The study collects medical and social care data, length of hospital stay, and whether patients ultimately return home using non‑interventional record review and questionnaires involving patients, informal caregivers, and staff. The project is supported by ARS‑IDF and aims to describe real‑world outcomes of the HTSH circuit across participating centers.
Who should consider this trial
Good fit: Ideal candidates are people aged 60 or over discharged from hospital in the Île‑de‑France region who are medically stabilized but cannot immediately return home, have a feasible plan to return home, and (and whose informal caregiver, if involved) give non‑opposition to participation.
Not a fit: Patients with unstable acute medical needs requiring continued hospital‑level care, those without a feasible plan to return home, people under age 60, or individuals who cannot give non‑opposition (and have no caregiver able to respond) are unlikely to benefit.
Why it matters
Potential benefit: If successful, this program could shorten hospital stays, ease the transition back home for older patients, and reduce pressure on acute‑care beds.
How similar studies have performed: Previous transitional care and short‑term step‑down placement programs have shown mixed but generally promising results for reducing length of stay and improving discharge outcomes, though regionally organized HTSH programs are less well studied.
Eligibility criteria
Show full inclusion / exclusion criteria
* Inclusion Criteria:
1. 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.
2. 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.
3. 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.
Where this trial is running
Cormeilles-en-Parisis and 9 other locations
- Résidence ZEMGOR — Cormeilles-en-Parisis, France (Not_yet_recruiting)
- EHPAD Pierre TABANOU — L'Haÿ-les-Roses, France (Recruiting)
- Groupe Hospitalier Sud Ile de France (GHSIF) — Melun, France (Not_yet_recruiting)
- GHU Lariboisière — Paris, France (Not_yet_recruiting)
- Broca Hospital — Paris, France (Recruiting)
- USDL Vaugirard, APHP — Paris, France (Recruiting)
- Centre Hospitalier de Rambouillet — Rambouillet, France (Not_yet_recruiting)
- Centre Hospitalier de Versailles — Versailles, France (Active_not_recruiting)
- Hopital Paul Brousse — Villejuif, France (Not_yet_recruiting)
- CHU Bicêtre — Paris, Île-de-France Region, France (Recruiting)
Study contacts
- Study coordinator: Isabelle Dufour
- Email: isabelle.dufour@gerondif.org
- Phone: 33 (0) 185781011
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.