NCT02682979

Continuity of the Therapeutic Limitation Code: Analysis of the Variables of Admission in the Emergency Service That Are Associated With a Therapeutic Limitation Upon Exit

Completed Last updated 18 January 2018

What this trial tests

trial testing Medical files analysis in Geriatrics in 100 participants. Completed in 1 December 2017.

Timeline

1 February 2016

Primary endpoint
1 December 2017

1 December 2017

Quick facts

Lead sponsor	Brugmann University Hospital
Status	Completed
Study type	OBSERVATIONAL
Enrollment	100
Start date	1 February 2016
Primary completion	1 December 2017
Estimated completion	1 December 2017
Sites	1 location across Belgium

Drugs / interventions tested

• Medical files analysis

Conditions studied

• Geriatrics — all drugs for Geriatrics →

Sponsor

Brugmann University Hospital

Who can join

75 and older, any sex, with Geriatrics. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Demographically, the geriatric population is expanding. It is also increasingly found in the emergency services.However, emergency services are not designed to accommodate these patients, whose needs are specific. This population is defined by complex physical and psychosocial needs, included in a comprehensive geriatric assessment too complex to be carried out in the emergency services.

Many publications focused on ways to prevent potentially avoidable visits to geriatric patients in emergency services. People rely upon a therapeutic limitation code established for these patients to determine the intensity of the care that may be given to them. However, few geriatric patients arriving in the emergency services were already given such a code.

As a consequence, the intensity of the care given to these emergency patients is influenced by the perception of the functional and cognitive status of the patient, even if part of this perception is incorrect. Moreover, it is also well established that the outcome of geriatric patients with severe pathologies at admission is often poor and that there is a need to find alternatives to the intensive treatment offered.

The goal of this study will be to determine the prevalence of the presence of a therapeutic limitation code in geriatric patients at hospital admission / admission to the emergency department, and when they leave the hospital. This will be carried out for all geriatric patients residing or placed in nursing homes at the end of the hospitalization.The investigators postulate that establishing a therapeutic limitation code for these fragile patients, before they leave the hospital for a nursing home, would reduce the number of future admissions of these patients in the emergency department.

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.