Condition: Iatrogenesis · Sponsor: Hospices Civils de Lyon
In France, hospitalised elderly patients (EP) aged \>75 years are expected to represent 1/3 of patients by 2030 (22% in 2015). In acute care wards outside geriatrics, the average length of stay increases with age, i.e. 8.5 days after the age of 90 compared with 5.5 days for younger patients. Dependence related to hospitalisation, partly avoidable, occurs in 30 to 60% of patients aged over 70. Faced with this situation Geriatric Mobile Teams (GMT) were created in 2002 to meet the need for geriatric expertise in hospitals and in the community by making punctual evaluations. Expert and multidisciplinary, the GMTs are a referring team for "advice, information and training for health care teams" for the care of vulnerable EPs. The GMTs are dependent on an exclusively medical demand system. The lack of knowledge of a specific care for EPs by nurses and nursing assistants and the occasional contribution of GMTs prevents a systematic targeted a for EP. Over the past 30 years, an American nursing programme (NICHE) aimed at improving the overall care of EPs in hospitals has shown that the training of geriatric resource nurses in speciality wards brought about a significant change in hospital geriatric culture. The training is based on evidence based practice including the HELP programme targeting confusion. The HELP programme has shown that nurses and nursing assistants play a pivotal role in reducing the incidence of hospital confusion. In the USA, the implementation of NICHE begins w…
This description comes directly from the study's public registry record.
Eleonore BROCARD, MD · 00 33 4 72 11 95 61 · eleonore.brocard@chu-lyon.fr
Anne TERMOZ, Coord · 00 33 4 27 85 63 00 · anne.termoz@chu-lyon.fr
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| Centre Hospitalier de Bourg en Bresse | Bourg-en-Bresse, France | Recruiting |
| Croix Rousse Hospital | Lyon, France | Recruiting |
| CH Annecy Genevois | Metz-Tessy, France | Not Yet Recruiting |
| service de court séjour gériatrique, Hôpital Lyon Sud | Pierre-Bénite, France | Recruiting |
| Hôpital Nord-Ouest | Villefranche-sur-Saône, France | Not Yet Recruiting |
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Source record: clinicaltrials.gov/study/NCT05936515