An Intervention for Elderly in Emergency Services

Summary

-Can a scheme based on inter geriatricians visiting nurse consultants and reduce negative impacts on the health of elderly over 70 years ?

Conditions

• Stroke
• Ischemic Attack
• Diabetes Mellitus
• Hypertension
• Fragility

Interventions

OTHER

Factors associated with the use of emergency departments

Participants who were assigned to the intervention will be evaluated jointly by the medical service by a medical specialist in geriatrics and a nurse trained in gerontology and geriatrics. The doctor will monitor the apparition and / or aggravation of any geriatric syndromes already established by the specialty in geriatrics, namely, polypharmacy, delirium, dementia, depression, risk of falls, etc.. The nurse will monitor and follow up in four areas I. medical issues (pressure ulcers, infusion, mobility); II. Mental and emotional state and coping strategies with hospitalization; III. functionality, and IV. Atmosphere (A. Service status, architectural difficulties for mobility, bathing etc. B. Support Network, caregiver, and C. hardship)

Sponsors & Collaborators

• Instituto Mexicano del Seguro Social

  collaborator OTHER_GOV

• Coordinación de Investigación en Salud, Mexico

  lead OTHER_GOV

Principal Investigators

• Carmen García-Peña, PhD · Epidemiological Research Unit and Health Services. XXI Century National Medical Center

• Sergio Sánchez García, PhD · Epidemiological Research Unit and Health Services. XXI Century National Medical Center

• Teresa Juarez Cedillo, PhD · Epidemiological Research Unit and Health Services. XXI Century National Medical Center

• Rogelio Moncada Tobias, Doctor · Emergency Service. General Hospital Zone No.2

• Nubia Franco Alvarez, Doctor · Internal Medicine. General Hospital Zone No. 2

• José García González, Master · Department of Nephrology. Regional General Hospital No. 1

• Ulises Pérez Zepeda, Master · Institute of Geriatrics

• Leslie Viridiana Robles Jiménez, Doctor · National Institute of Psychiatry

Study Design

Allocation

NA

Purpose

HEALTH_SERVICES_RESEARCH

Masking

SINGLE

Model

SINGLE_GROUP

Eligibility

Min Age

70 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2013-06-30

Primary Completion

2014-03-31

Countries

• Mexico

Study Locations