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CompletedNCT04846608Updated Nov 18, 2021

Descriptive Study of Emergency Room Visits From Nursing Home Residents for Behavioral Problems at the Nancy University Hospital: Place of the Advanced Practice Nurse

An observational study in Behavioral Disorders, sponsored by Central Hospital, Nancy, France. Completed at 1 site in France. Open to participants aged 75 Years and older. Per ClinicalTrials.gov, last updated 2021-11-18.

Sponsored by Central Hospital, Nancy, France · Observational

Study type
Observational
Model
Case-control
Time perspective
Retrospective
Enrollment
4,000
Ages
75 Years and older
Sex
All
01

Study summary

The demographic evolution of old age is a reality. After the age of 75, 2 out of 3 people living in institutions have neurocognitive disorders. Behavioural disorders such as physical aggression, agitation, hallucinations, sleep disorders, generate difficulties in the management of these patients and lead to unscheduled emergency hospitalizations. Non-pharmacological management of behavioral disorders is recommended as a first-line treatment because of its low risk and potential improvement (Haute Autorité de Santé 2009). However, this management is not simple and obvious to put in place, especially since not all elderly people with Behavioural disorders are in adapted structures. The advanced practice nurse specializing in geriatrics has a place in this care pathway. Because of her skills, she could "organize multi-professional care, set up analyses of practices within the nursing homes, train caregivers appropriately, and limit hospitalizations due to behavioral problems" (SALIEGE L. 2020). Advanced practice nursing is in its infancy in France, and everything remains to be done (International Council of Nurses- directive). The aim of the study is to identify the number of emergency room visits by people aged 75 and over for behavioral problems in nursing home during a 6 month-period.

02

Conditions studied

  • Behavioral Disorders
03

In context

Emergencies

1,692 studies on the registry are indexed under Emergencies; 333 are open to participants now.

This study's enrollment of 4,000 is above the median of 353 across 714 observational studies indexed under Emergencies.

Browse Emergencies studies →

Lead sponsor

Central Hospital, Nancy, France is the lead sponsor of 778 studies on the registry; 183 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
75 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

All persons aged 75 and over, residents of nursing homes in the Nancy area, who consulted the emergency department during the 6 month study period

Inclusion criteria

  • Person who has received full information on the organization of the research and has not objected to the use of this data
  • Elderly men and women 75 years of age and older at the time of the emergency room visit
  • Having for main residence one of the nursing homes of the Grand Nancy
  • Administratively present in the emergency department
  • Having been admitted to the emergency room for the following reasons:

    • Behavioural problems
    • Agitation
    • Dementia
    • Disorientation
    • Delirium

Exclusion criteria

Exclusion Criteria:

  • People under 75 years of age
  • Residing at home or in a senior residence or in a nursing home outside Grand Nancy
  • Referred by an inpatient department (rehabilitation department)
  • Other reasons for emergency room use such as "depression" and "apathy
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Study design

Observational model
Case-control
Time perspective
Retrospective
Enrollment
4,000 participants (actual)
Patient registry
No

Groups and cohorts

  • Nursing home residents with behavioural problems

    Nursing home residents from Grand Nancy aged 75 and over referred to emergency departments for disorientation, agitation, dementia or behavioural problems during the study period

    Other: Observation

  • Nursing home residents with other problems

    Nursing home residents from Grand Nancy aged 75 and over referred to emergency departments for other reasons

    Other: Observation

Interventions

  • OtherObservation

    Observation

06

What researchers measure

Primary outcomes

  1. Number of passage of people aged 75 and over referred to emergency departments by nursing homes for disorientation, agitation, dementia or behavioural problems during the study period

    Number of passage of people aged 75 and over referred to emergency departments by nursing homes for disorientation, agitation, dementia or behavioural problems during the study period

    Time frame: through study completion, an average of 6 months

Secondary outcomes

  1. Age of the patients

    Time frame: through study completion, an average of 6 months

  2. Gender of the patients

    Time frame: through study completion, an average of 6 months

  3. Presence of previous medical cognitive disorder

    Time frame: through study completion, an average of 6 months

  4. Name of nursing home of origin

    Time frame: through study completion, an average of 6 months

  5. Length of stay at emergency room

    Time frame: through study completion, an average of 6 months

  6. Referral after visit at emergency room

    Time frame: through study completion, an average of 6 months

  7. Number of iterative passage of people aged 75 and over referred to emergency departments by nursing homes for disorientation, agitation, dementia or behavioural problems during the study period

    Time frame: through study completion, an average of 6 months

  8. Presence of intervention of geriatric mobile team

    Time frame: through study completion, an average of 6 months

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Study locations

1 site
  • CHRU de NANCY
    Nancy, 54000, France
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 18, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04846608
Lead sponsor
Central Hospital, Nancy, France
Collaborators
Marie MANGEOT- Nurse, Mahmut GUNDESLI MD
Responsible party
Bernadette HANESSE (MD, Central Hospital, Nancy, France) — Principal investigator
First posted
Apr 15, 2021
Start date
Apr 14, 2021
Primary completion
Jun 30, 2021
Completion
Jun 30, 2021
Last update
Nov 18, 2021

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Nov 2021. You cannot join it, but the record below documents what was studied.

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