NCT01569997

Impact of Systematic Tracking of Dementia Cases on the Rate of Hospitalization in Emergency Care Units

Interest of Systematic Tracking of Dementia Cases in Nursing Homes: Analysing the Contribution of MultiDisciplinary Team Meeting (MDTM) in Alzheimer's Disease and Related Diseases

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 1,428 (actual)
• Sponsor: University Hospital, Toulouse · Academic / Other
• Sex: All
• Age: 60 Years
• Healthy volunteers: Not accepted

Summary

Introduction: Epidemiological data show that in France only half of patients with Alzheimer disease are currently diagnosed in the general population. The absence of early diagnosis of dementia reduces the opportunities of patients to receive optimal care. One of the consequences of undiagnosed dementia is inadequate use of emergency care units. The main objective: The main aim of this study is to evaluate the impact of a systematic case-finding procedure of dementia cases in nursing homes through a MDTM on the rate of hospitalization in emergency care units. Secondary objectives: To assess the impact of systematic tracking of dementia cases on the: * Quantity and quality of drug-prescription * Appropriateness of hospitalizations * Prevalence of neuropsychiatric symptoms * Dependency * Quality of life * Burden of nursing staff working conditions * Planning of specific therapeutic measures * Overall health care costs

Detailed description

This is a multicentre, cluster randomized study comparing two parallel groups: * Intervention group: nursing homes whose residents benefit from MDTM to identify the cases of dementia and to propose an adequate care project * Control group: nursing homes whose residents continue to benefit from usual care In each group, 1000 elderly subjects aged over 60 years without documented diagnosis of dementia will be included and monitored for a period of 18 months. Information about the main and secondary aims will be collected monthly through online questionnaires.

Conditions

• Dementia in Nursing Home

Interventions

Type	Name	Description
OTHER	MultiDisciplinary Team Meetings (MDTM)	The MDTM, between the memory experts and Nursing Home coordinating practitioners, could help the nursing home medical staff identify the cases of dementia and propose these residents an adequate healthcare project (supplementary investigations, therapeutic modifications, hospitalizations...)

Timeline

• Start date: 2010-05-01
• Primary completion: 2013-09-01
• Completion: 2013-09-01
• First posted: 2012-04-04
• Last updated: 2020-07-29

Locations

90 sites across 1 country: France