AzTrials
AzTrials

Dementia in Nursing HomeIDEMNCT01569997

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

A study testing MultiDisciplinary Team Meetings (MDTM) in people with Dementia in Nursing Home, run by University Hospital, Toulouse at 90 sites in France.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial 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. Read more about this study

Who is it for?
Ages 60 years and older
Conditions the study is for
Dementia in Nursing Home
What is being tested?
MultiDisciplinary Team Meetings (MDTM)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,428 participants
Where
90 sitesFrance
Study dates
May 2010to Sep 2013
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 60 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Residents of both sex, aged 60 years or over
  • Residents living in a nursing home participating in the study
  • Residents living in the nursing home for 30 days or more
  • Residents without diagnosed and documented dementia, identified as follows:
  • residents not identified by the French Healthcare system as suffering from dementia (ALD 15)
  • residents not benefiting from a specific care program or a specialized follow-up for dementia
Show all 10Show fewer
  • residents for whom there is no appropriate investigation for dementia diagnosis in medical records
  • residents not taking specific drugs for dementia (Cholinesterase inhibitors and/or Memantine)
  • Residents and their GP having received information about the study
  • Residents and their GP having expressed their agreement to participate in the study

Who cannot join

  • Residents aged less than 60 years
  • Residents not living in a nursing home participating in study
  • Residents living in nursing home for less than 30 days
  • Residents with diagnosed and documented dementia, identified as follows:
  • residents Identified by the French Healthcare system as suffering from dementia (ALD 15)
  • residents benefiting from specific care programme or specialized follow-up for dementia
Show all 10Show fewer
  • residents for whom there is appropriate investigation for dementia diagnosis in medical records
  • residents taking specific drugs for dementia (Cholinesterase inhibitors and/or Memantine)
  • Residents and/or their GP who received no information about the study
  • Residents and/or their GP having expressed their opposition to participate in the study

Trial locations and contacts

90 sites in 1 country.

90 sites in 1 country

France90 sites

  • Centre de Gerontologie Pompeyrie Chu Agen

    Agen

  • Ehpad Maison de Retraite Louise Anceau

    Albi

  • Ehpad Maison de Retraite Olga Ducoudray

    Albi

  • Ehpad Mr "Les Jardins de Jouvence"

    Albi

  • Mapad La Renaudie Ch Albi

    Albi

  • Ehpad Les Ajoncs D'Or

    Allaire

  • Ehpad Maison de Retraite Hl Ax Les Thermes

    Ax-les-Thermes

  • Ehpad Marie Lehman

    Balma

  • Ehpad Kerdigemer

    Brest

  • Ehpad Residence Ker-Heol

    Brest

  • Ehpad Residence Saint Astier

    Catus

  • Mapa de L'Hopital Local de Caussade

    Caussade

  • Ehpad Maison de Retraite Ste Marthe

    Ceignac

  • EHPAD Résidence Castelgirou

    Cépet

  • Ehpad Leon Ronzier Joly

    Clermont-l'Hérault

  • Ehpad Themis Lasplanes

    Colomiers

  • Ehpad Maison de Retraite Joseph Sauvy

    Err

  • Ehpad Residence Borde Haute Promo-Accueil

    Escalquens

  • Mapad "Firmi"

    Firmi

  • Ehpad Hopital Local Fleurance

    Fleurance

  • Ehpad Mr Bellissen Chi Du Val D'Ariege

    Foix

  • Ehpad Dr Robert

    Guer

  • Ehpad Residence Grand'Maison

    L'Union

  • Ehpad Residence Provencale Medicafrance

    La Roquebrussanne

  • Ehpad Residence Clairefontaine

    Lamorlaye

  • Mapad Ch Lavaur

    Lavaur

  • Ehpad Saint Reah Hir

    Le Conquet

  • Ehpad Residence D'Automne de La Ferme

    Le Mée-sur-Seine

  • Ehpad Maison de Retraite "Les Charmilles"

    Lescure-d'Albigeois

  • Residence Le Parc

    Lézat-sur-Lèze

  • Ehpad La Cheneraie

    Lherm

  • Ehpad Mr Lagrange

    Lisle-sur-Tarn

  • Mapad Labastide Ch Lourdes

    Lourdes

  • Ehpad Emile Dubois

    Marchiennes

  • Ehpad Les Mille Soleils

    Marciac

  • Ehpad Et. Public Gerontologie de Marines

    Marines

  • AP-HM Hôptal La Timone Service de Pédiatrie Mutidisciplinaire

    Marseille, 13385

  • Ehpad Maison Retraite Hl Mauvezin

    Mauvezin

  • Ehpad Maison de Retraite Saint Joseph

    Mazamet

  • Ehpad Maison de Retraite Privee de Mazeres

    Mazères

  • Ehpad L'Ecrin Des Sages

    Mèze

  • Ehpad-Maison Retraite Hl Mirande

    Mirande

  • Ehpad Chis Castelsarrasin-Moissac

    Moissac

  • Ehpad Maison Retraite Ch Montauban

    Montauban

  • Ehpad Era Caso

    Montauban-de-Luchon

  • Ehpad Ma Maison

    Montpellier

  • Ehpad Maison de Retraite Sainte Agnes

    Montredon-Labessonnié

  • Ehpad L'Acacia

    Nailloux

  • Logements Foyer La Fontanelle

    Naucelle

  • Ehpad Fondation Pauliani

    Nice

  • Ehpad Les Noisetiers

    Nice

  • Ehpad Residence Ancilla

    Nice

  • Ehpad Mais de Retraite Saint-Joseph

    Ossun

  • Ehpad Mr Bariol Chi Du Val D'Ariege

    Pamiers

  • Ehpad Residence Le Parc

    Panazol

  • AP-HP Hôpital Necker Enfants Malades Service d'endocrinologie pédiatrique - 149 route de Sèvres

    Paris, 75015

  • Ehpad Furtado Heine

    Paris

  • Ehpad Julie Siegfried

    Paris

  • Ehpad La Pirandelle

    Paris

  • Ehpad Residence Anselme

    Paris

  • Ehpad Residence Belleville

    Paris

  • Ehpad Residence Herold

    Paris

  • Ehpad Residence Oceane

    Paris

  • Ehpad Tiers Temps Paris

    Paris

  • Ehpad Residence Adeline

    Pierre-Buffière

  • Ehpad Residence D'Automne Medica-France

    Reims

  • Ehpad L'Oree Du Bois

    Rieux-Volvestre

  • Ehpad Residence Saint-Amans

    Rodez

  • Ehpad Le Jardin Des Loges

    Saint-Bonnet

  • Ehpad Maison Retraite Orelia Ch St Gaudens

    Saint-Gaudens

  • Ehpad Residence Themis La Joie de Vivre

    Saint-Lys

  • Ehpad Genevriers

    Saint-Martory

  • Ehpad A Labouilhe

    Saint-Orens-de-Gameville

  • Ehpad Public de Saint-Remy de Provence

    Saint-Rémy-de-Provence

  • Ehpad Les Bruyeres

    Sousceyrac

  • Ehpad Maison de Retraite Chic Tarbes Vic

    Tarbes

  • Ehpad Residence "Le Doyenne Du Carmel"

    Tarbes

  • Ehpad Sainte Anne

    Tinténiac

  • Ehpad de La Cote Pavee

    Toulouse

  • Ehpad Gaubert

    Toulouse

  • Ehpad Mr Henri Iv

    Toulouse

  • Ehpad Pierre Ducis

    Toulouse

  • Ehpad Residence La Cotonniere

    Toulouse

  • Ehpad Residence Le Clos Des Carmes

    Toulouse

  • Ehpad Residence Marguerite

    Toulouse

  • Ehpad Residence Saint-Simon

    Toulouse

  • Usld Domaine de La Cadene

    Toulouse

  • Ehpad Umt

    Valence-d'Albigeois

  • Ehpad Maisonneuve

    Villefranche-de-Lauragais

  • Ehpad Saint-Jacques

    Villemur-sur-Tarn

Other trials in France

About this study

Official title: 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

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.

Read more

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
Read the 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.

Being tested
MultiDisciplinary Team Meetings (MDTM)
Keywords
Dementia, emergency hospitalization, nursing home, multidisciplinary meeting, cognitive decline, disability, residents, facilities, long term care unit, health policy, general practitioner, prevention
Medical subject headings
Dementia, Cognitive Dysfunction

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • MultiDisciplinary Team Meetings (MDTM)Other

    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...)

Study groups in NCT01569997
Study groupRoleWhat they receive
Intervention groupOtherIntervention group: nursing homes whose residents benefit from MDTM to identify the cases of dementia and to propose an adequate care project
Receives: Other: MultiDisciplinary Team Meetings (MDTM)
control groupNo interventionControl group: nursing homes whose residents continue to benefit from usual care

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Incidence of hospitalizations in emergency care units

    Monthly collection during follow-up (18 months)

    Measured: 18 months

Secondary outcomes (9)

  1. Prevalence of antipsychotic prescription

    Measured: Baseline visit, 4 months, 18 months

  2. Incidence of inappropriate hospitalizations

    Monthly collection during follow-up (18 months)

    Measured: 18 months

  3. Prevalence of neuropsychiatric symptoms evaluated by NPI-nursing staff version

    Measured: Baseline visit, 18 months

  4. Dependency evaluated by AGGIR and IADL-4 items

    Measured: Baseline visit, 18 months

  5. Quality of life evaluated by QOL-AD

    Measured: Baseline visit, 18 months

  6. Number of nursing staff's time off work

    Monthly collection during follow-up (18 months)

    Measured: 18 months

  7. Number of days off work by nursing staff

    Monthly collection during follow-up (18 months)

    Measured: 18 months

  8. Presence of advanced care planning in patients medical records

    Advanced care planning will be checked through behavioural disosders, transfer to hospital intensive care and resuscitation

    Measured: Baseline visit, 18 months

  9. Overall healthcare costs

    Monthly collection during follow-up (18 months)

    Measured: 18 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted4 Apr 2012 (estimated)
  2. Study startMay 2010
  3. Primary completionSep 2013
  4. Study completionSep 2013

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
1,428 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01569997
Sponsor's protocol ID
0910701
Other IDs
2009-A01062-55
Acronym
IDEM
Status last verified
Jul 2020
First submitted
4 Jul 2011
Last updated
29 Jul 2020
Results posted
No
Data monitoring committee
No

Publications

  • Rolland Y, Tavassoli N, de Souto Barreto P, Perrin A, Laffon de Mazieres C, Rapp T, Hermabessiere S, Tournay E, Vellas B, Andrieu S. Systematic Dementia Screening by Multidisciplinary Team Meetings in Nursing Homes for Reducing Emergency Department Transfers: The IDEM Cluster Randomized Clinical Trial. JAMA Netw Open. 2020 Feb 5;3(2):e200049. doi: 10.1001/jamanetworkopen.2020.0049.

    PubMed 32101308

Questions about this trial

What is this clinical trial studying?

A study testing MultiDisciplinary Team Meetings (MDTM) in people with Dementia in Nursing Home, run by University Hospital, Toulouse at 90 sites in France.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 10 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 29 Jul 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 90 sites in France. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Incidence of hospitalizations in emergency care units (time frame: 18 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01569997, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 Jul 2020.

AzTrials uses cookies for analytics and advertising. You can accept or reject them; the site works either way. Privacy Policy.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in