Geriatric SyndromesKASEHPADNCT04587466
KArukera Study of Aging in Nursing Homes
An observational study of Geriatric Syndromes, run by Centre Hospitalier Universitaire de la Guadeloupe at 11 sites in 2 countries.
Trial summary
Nursing homes are a recent occurrence in Guadeloupe, and little is known about the characteristics of their residents. In Guadeloupe, in the French West Indies, nearly 1200 dependent older people are cared for in nursing homes. Read more about this study
- Who is it for?
- Ages 60 years and olderHealthy volunteers can take part
- Conditions the study is for
- Geriatric Syndromes
- How many people
- 500 participants
- Where
- 11 sitesin 2 countries
- Study dates
- 3 Nov 2020to 3 Nov 2022
- Phase
- Observational
- 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
- Healthy volunteers accepted
- Adult, Older adult
Study population: Every elderly person living in a nursing home in Guadeloupe will be invited to participate in the study.
Who may be able to join
- participant must be over 60 years old
- residents must live in a nursing home in Guadeloupe, Saint-Martin or Saint-Barthelemy
- residents must benefit from the French social security
- Participant must have an identified support person
- Participant under guardianship or curatorship if accepted by the legal guardian
- Participant in a foreseeable short-term end-of-life situation if accepted by the legal representative or the support person
Who cannot join
- refusal from the resident or his legal guardian to participate in the study
Trial locations and contacts
11 sites in 2 countries.
11 sites in 2 countries
Guadeloupe10 sites, 10 recruiting
- Not yet recruiting
Ehpad Residence Sacré Cœur
Basse-Terre, 97100
Séverine SA ADELAIDE, MD, +590590 60 88 20, Severine.ADELAIDE@fondationpartageetvie.org
- Not yet recruiting
Ehpad Nou Gran Moun
Capesterre-Belle-Eau, 97130
Simone Séjor-Pelis, MD, simonepelis@hotmail.com
- Recruiting
Ehpad Residence Senior 'Les Flamboyants'
Gourbeyre
Séverine Adélaide, MD, +5905 90 60 88 20, Severine.ADELAIDE@fondationpartageetvie.org
- Not yet recruiting
Ehpad St-Christophe
Grand-Bourg, 97112
Maryse ETZOL, MD, marysetzol@gmail.com
- Not yet recruiting
Ehpad Domaine de Choisy
Le Gosier, 97190
karine fernandez, MD, Dr.fernandez@choisy-cliniques.com
- Not yet recruiting
Ehpad Ch Jacques Salin
Les Abymes, 97139
mariem alj, MD, Mariem.alj@chgeront-gpe.fr
- Not yet recruiting
Ehpad Les Jardins de Belost
Saint-Claude, 97120
Jean-Marie FAURE, MD, Aaa.faure@wanadoo.fr
- Not yet recruiting
Ehpad Res. Medico-Sle de Marie-Galante
Saint-Louis, 97134
Maturin Tabue-Teguo, MD PhD, Maturin.tabueteguo@chu-guadeloupe.fr
- Not yet recruiting
Ehpad Les Roses de Lima
Sainte-Rose, 97115
Franzt Ugolin, MD, docteur.ugolin@wanadoo.fr
- Recruiting
Ehpad Kalana
Village, 97125
Claire HOUETTE, MD, houette.c@manioukani.com
Saint Martin1 site, 1 recruiting
- Not yet recruiting
Ehpad Bethany Home
Saint Martin, 97150
Frédéric Olivo, MD, frederic.olivo@esante-guadeloupe.fr
About this study
Official title: Prospective Cohort Study of the Care Pathway for Elderly People in Care in Nursing Homes in Guadeloupe
Nursing homes are a recent occurrence in Guadeloupe, and little is known about the characteristics of their residents. In Guadeloupe, in the French West Indies, nearly 1200 dependent older people are cared for in nursing homes. The aim of the KArukera Study of Aging in Nursing Homes (KASEHPAD) is to study the care pathways of dependent elderly people in nursing homes in Guadeloupe over a year. The main objective will be to obtain the annual rate of hospitalisation in this setting. The secondary objectives will be to assess hospitalisations costs, the incidence of mortality, the prevalence of geriatric syndromes, as well as the quality of life of residents and professional caregiver burnout. Ultimately, these results will be compared to a similar study in nursing homes, the KASAF study (for Karukera Study of Aging in Foster Families).
Read the detailed description
hile not fully integrated in the Caribbean culture, nursing homes may well become a necessity, and their number is growing. For example, there are now 6 nursing homes in Jamaica, and since the first one in 1991, 20 more have opened in Guadeloupe. Being admitted in a nursing home may be beneficial for the residents as well as for their families since it offers around-the-clock medical care and a secure living environment. On the other hand, living in a nursing home also tend to alter the medical and psychological state of the resident. Little is known about the characteristics of nursing home residents in Guadeloupe. Epidemiological and medico-economic data on older people in nursing homes are essential to assess the relevance of this type of care, and several and yet unanswered questions come to mind: what is the residents' annual hospitalization rate and the associated costs? What is the prevalence of geriatric syndromes in this population, and the incidence of mortality? What is the incidence of pneumonia, the leading cause of death and emergency hospitalization in older people? What is the quality of life of the older residents and their professional caregivers? KASEHPAD, an epidemiological cohort, aims to answer these questions. This longitudinal study will assess the health status and medical and economic data of 500 nursing home residents and their professional caregivers over a year. A similar study (KASAF, for Karukera Study of Aging in Foster Families) will be conducted simultaneously among 250 older people in foster families, as to compare these two types of care.
The main outcome is the number of hospitalizations over a year. Local PMSI (Medicalization program of the information system) hospitals databases will provide information on hospital admissions.
500 people aged 60 and older and living in nursing homes in Guadeloupe will be included. Data collection will be conducted using face-to-face interviews with the participants and their professional caregivers at baseline and after 6 and 12 months, and phone interviews with the professional caregivers, after 3 and 9 months. Anthropometric measures, information on general health status and care pathways (hospitalization, medical and paramedical consultations), as well as data on medical history, cognition, nutritional status, and physical frailty will also be collected. Depressive and anxiety symptoms will also be assessed along with functional abilities (mobility, instrumental activities of daily living and activities of daily living). A systematic update of vital status (death) and care pathway will be carried out at each follow-up. Additional information on the residents' living status and potential hospitalizations will be collected after 3 and 9 months. Finally, professional caregivers will be interviewed at inclusion, after 6 months and after a year to assess their own quality of life and burnout symptoms.
This study was supported by a grant from the Agence Régionale de Santé de la Guadeloupe.
- Conditions
- Geriatric Syndromes
- Keywords
- Older people, nursing home, hospitalization, geriatric syndromes, mortality, quality of life
What is being measured
The primary outcome is the main question the study is designed to answer.
Hospitalization rate of the participant
Number of hospital admissions over a year, retrieved from the local PMSI (Medicalization program of the information system) of the Hospital Center of Guadeloupe
Measured: 12 months
Secondary outcomes (1)
Length of hospital stays of the participant
Length of hospital stays expressed as number of days and nights, retrieved from the local PMSI (Medicalization program of the information system) of the Hospital Center of Guadeloupe
Measured: 12 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Oct 2020
- Study start3 Nov 2020
- Primary completion3 May 2021 (estimated)
- Study completion3 Nov 2022 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (5)Papers the sponsor has linked to this study.
- Other trials for Geriatric SyndromesStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 500 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Centre Hospitalier Universitaire de la Guadeloupe
- Sponsor type
- University, hospital or other
- Collaborators
- Agence Régionale de Santé de la Guadeloupe
- Responsible party
- Sponsor
- Investigators
- Maturin MT TABUE-TEGUO, MD MhD, Principal investigator, CHU de la Guadeloupe
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04587466
- Sponsor's protocol ID
- PAP_RIPH3_2020/04
- Other IDs
- 2020-A00960-39
- Acronym
- KASEHPAD
- Status last verified
- Feb 2021
- First submitted
- 30 Sep 2020
- Last updated
- 9 Feb 2021
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Publications
Boucaud-Maitre D, Chaumont H, Dartigues JF, Lannuzel A, Tabue-Teguo M. Parkinsonian syndromes in institutionalized older adults in the French Caribbean: Clinical characteristics and one-year mortality. Parkinsonism Relat Disord. 2026 Aug;149:108403. doi: 10.1016/j.parkreldis.2026.108403. Epub 2026 Jun 22.
PubMed 42330831Boucaud-Maitre D, Amieva H, Pic O, Letchimy L, Simo N, Dartigues JF, Drame M, Dorey JM, Tabue-Teguo M. Poor adjustment to nursing homes and 1-year mortality: a secondary analysis of the KASEHPAD cohort study. BMJ Open. 2025 Dec 4;15(12):e106682. doi: 10.1136/bmjopen-2025-106682.
PubMed 41344708Boucaud-Maitre D, Vainqueur L, Letchimy L, Bonnet M, Simo N, Drame M, Tabue-Teguo M. Gender differences in the French Caribbean nursing homes. Sci Rep. 2025 Feb 20;15(1):6170. doi: 10.1038/s41598-025-90740-7.
PubMed 39979372Boucaud-Maitre D, Jaballah F, Letenneur L, Rinaldo L, Dartigues JF, Drame M, Amieva H, Tabue-Teguo M. Association between self-reported and proxy informant Health Quality of life of older adults with the use of antipsychotic drugs in nursing homes. A cross-sectional study. PLoS One. 2025 Jan 7;20(1):e0311823. doi: 10.1371/journal.pone.0311823. eCollection 2025.
PubMed 39775330Boucaud-Maitre D, Simo N, Villeneuve R, Bonnet M, Drame M, Tabue-Teguo M. Comparison of quality of life of older adults living in foster families versus nursing homes. Results from the KASA studies. J Nutr Health Aging. 2024 Oct;28(10):100358. doi: 10.1016/j.jnha.2024.100358. Epub 2024 Sep 7.
PubMed 39244789
Study at a glance
From the registry record, last updated by the sponsor on 9 Feb 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Prospective Cohort Study of the Care Pathway for Elderly People in Care in Nursing Homes in Guadeloupe
- ClinicalTrials.gov ID
- NCT04587466
- Acronym / sponsor ID
- KASEHPAD / PAP_RIPH3_2020/04
- Conditions
- Geriatric Syndromes
- Keywords
- Older people, nursing home, hospitalization, geriatric syndromes, mortality, quality of life
- Study type
- Observational
- Recruitment status
- Unknown status
- Enrolment
- 500 participants (estimated)
- Lead sponsor
- Centre Hospitalier Universitaire de la GuadeloupeUniversity, hospital or other
- Collaborators
- Agence Régionale de Santé de la Guadeloupe
- Study start
- 3 Nov 2020 (actual)
- Primary completion
- 3 May 2021 (estimated)
- Study completion
- 3 Nov 2022 (estimated)
- First posted
- 14 Oct 2020 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Nursing homes are a recent occurrence in Guadeloupe, and little is known about the characteristics of their residents. In Guadeloupe, in the French West Indies, nearly 1200 dependent older people are cared for in nursing homes. The aim of the KArukera Study of Aging in Nursing Homes (KASEHPAD) is to study the care pathways of dependent elderly people in nursing homes in Guadeloupe over a year. The main objective will be to obtain the annual rate of hospitalisation in this setting. The secondary objectives will be to assess hospitalisations costs, the incidence of mortality, the prevalence of geriatric syndromes, as well as the quality of life of residents and professional caregiver burnout. Ultimately, these results will be compared to a similar study in nursing homes, the KASAF study (for Karukera Study of Aging in Foster Families).
Detailed description
hile not fully integrated in the Caribbean culture, nursing homes may well become a necessity, and their number is growing. For example, there are now 6 nursing homes in Jamaica, and since the first one in 1991, 20 more have opened in Guadeloupe. Being admitted in a nursing home may be beneficial for the residents as well as for their families since it offers around-the-clock medical care and a secure living environment. On the other hand, living in a nursing home also tend to alter the medical and psychological state of the resident. Little is known about the characteristics of nursing home residents in Guadeloupe. Epidemiological and medico-economic data on older people in nursing homes are essential to assess the relevance of this type of care, and several and yet unanswered questions come to mind: what is the residents' annual hospitalization rate and the associated costs? What is the prevalence of geriatric syndromes in this population, and the incidence of mortality? What is the incidence of pneumonia, the leading cause of death and emergency hospitalization in older people? What is the quality of life of the older residents and their professional caregivers? KASEHPAD, an epidemiological cohort, aims to answer these questions. This longitudinal study will assess the health status and medical and economic data of 500 nursing home residents and their professional caregivers over a year. A similar study (KASAF, for Karukera Study of Aging in Foster Families) will be conducted simultaneously among 250 older people in foster families, as to compare these two types of care.
The main outcome is the number of hospitalizations over a year. Local PMSI (Medicalization program of the information system) hospitals databases will provide information on hospital admissions.
500 people aged 60 and older and living in nursing homes in Guadeloupe will be included. Data collection will be conducted using face-to-face interviews with the participants and their professional caregivers at baseline and after 6 and 12 months, and phone interviews with the professional caregivers, after 3 and 9 months. Anthropometric measures, information on general health status and care pathways (hospitalization, medical and paramedical consultations), as well as data on medical history, cognition, nutritional status, and physical frailty will also be collected. Depressive and anxiety symptoms will also be assessed along with functional abilities (mobility, instrumental activities of daily living and activities of daily living). A systematic update of vital status (death) and care pathway will be carried out at each follow-up. Additional information on the residents' living status and potential hospitalizations will be collected after 3 and 9 months. Finally, professional caregivers will be interviewed at inclusion, after 6 months and after a year to assess their own quality of life and burnout symptoms.
This study was supported by a grant from the Agence Régionale de Santé de la Guadeloupe.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
Who may qualify
- Ages
- 60 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
- Study population
- Every elderly person living in a nursing home in Guadeloupe will be invited to participate in the study.
Key inclusion criteria (6 listed)
- participant must be over 60 years old
- residents must live in a nursing home in Guadeloupe, Saint-Martin or Saint-Barthelemy
- residents must benefit from the French social security
- Participant must have an identified support person
- Participant under guardianship or curatorship if accepted by the legal guardian
Key exclusion criteria (1 listed)
- refusal from the resident or his legal guardian to participate in the study
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Hospitalization rate of the participant
Time frame: 12 months
Number of hospital admissions over a year, retrieved from the local PMSI (Medicalization program of the information system) of the Hospital Center of Guadeloupe
1 secondary outcome
Length of hospital stays of the participant
Time frame: 12 months
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 9 Feb 2021.
- Derived from this study: PubMed 42330831Boucaud-Maitre D, Chaumont H, Dartigues JF, Lannuzel A, Tabue-Teguo M. Parkinsonian syndromes in institutionalized older adults in the French Caribbean: Clinical characteristics and one-year mortality. Parkinsonism Relat Disord. 2026 Aug;149:108403. doi: 10.1016/j.parkreldis.2026.108403. Epub 2026 Jun 22.
- Derived from this study: PubMed 41344708Boucaud-Maitre D, Amieva H, Pic O, Letchimy L, Simo N, Dartigues JF, Drame M, Dorey JM, Tabue-Teguo M. Poor adjustment to nursing homes and 1-year mortality: a secondary analysis of the KASEHPAD cohort study. BMJ Open. 2025 Dec 4;15(12):e106682. doi: 10.1136/bmjopen-2025-106682.
- Derived from this study: PubMed 39979372Boucaud-Maitre D, Vainqueur L, Letchimy L, Bonnet M, Simo N, Drame M, Tabue-Teguo M. Gender differences in the French Caribbean nursing homes. Sci Rep. 2025 Feb 20;15(1):6170. doi: 10.1038/s41598-025-90740-7.
- Derived from this study: PubMed 39775330Boucaud-Maitre D, Jaballah F, Letenneur L, Rinaldo L, Dartigues JF, Drame M, Amieva H, Tabue-Teguo M. Association between self-reported and proxy informant Health Quality of life of older adults with the use of antipsychotic drugs in nursing homes. A cross-sectional study. PLoS One. 2025 Jan 7;20(1):e0311823. doi: 10.1371/journal.pone.0311823. eCollection 2025.
- Derived from this study: PubMed 39244789Boucaud-Maitre D, Simo N, Villeneuve R, Bonnet M, Drame M, Tabue-Teguo M. Comparison of quality of life of older adults living in foster families versus nursing homes. Results from the KASA studies. J Nutr Health Aging. 2024 Oct;28(10):100358. doi: 10.1016/j.jnha.2024.100358. Epub 2024 Sep 7.
- Individual participant dataSharing planned: Undecided
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Maturin MT TABUE-TEGUO, MD MhD principal investigator
CHU de la Guadeloupe
11 sites in 2 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Geriatric Syndromes, run by Centre Hospitalier Universitaire de la Guadeloupe at 11 sites in 2 countries.
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 6 inclusion and 1 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: status not confirmed, as of the sponsor's last update on 9 Feb 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 11 sites in Guadeloupe, Saint Martin. 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?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Roxane RV VILLENEUVE, Ph. D (+590690403039, roxane.villeneuve@chu-guadeloupe.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Hospitalization rate of the participant (time frame: 12 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 NCT04587466, which also lists 5 linked publications.
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 9 Feb 2021.