Impact of Geriatric Hotlines on Health Care Pathways and Health Status in Patients Aged 75 Years and Older: Protocol for a French Multicenter Observational Study (Preprint)

• DOI: 10.2196/preprints.15423
• Publication Date: 2020-02-13T09:00:36Z
• Authors: Laure Martinez; Noémie Lacour; Régis Gonthier; Marc Bonnefoy; Luc Goethals; Cedric Annweiler; Nathalie Salles; Nathalie Jomard; Jérôme Bohatier; Magali Tardy; Etienne Ojardias; Romain Jugand; Bienvenu Bongué; Thomas Celarier
• Keywords: Hotline; Geriatric psychiatry

<sec> <title>BACKGROUND</title> In France, emergency departments (EDs) are the fastest and most common means for general practitioners (GPs) to cope with complex issues presented by elderly patients multiple conditions. EDs overburdened, studies show that being treated in can have a damaging effect on health of patients. Outpatient care or planned hospitalizations possible solutions if appropriate geriatric medical advice is provided. 2013, France’s regional authorities proposed creating direct telephone helplines, “geriatric hotlines,” staffed specialists encourage interactions between GP clinics hospitals. These hotlines designed improve pathways status elderly. </sec> <title>OBJECTIVE</title> This study aims describe aged 75 years older hospitalized short-stay wards following referral from hotline. <title>METHODS</title> The will be conducted over 24 months seven French university hospital centers. It include all older, living their own homes nursing homes, who admitted hotline consultation. Two questionnaires filled out staff at specific time points: (1) after conducting consultation (2) admitting patient care. primary endpoint mean hospitalization duration. secondary endpoints intrahospital mortality rate, characteristics via hotline, types questions asked responses given <title>RESULTS</title> was funded National School Social Security Loire department (École Nationale Supérieure de Sécurité Sociale) Conference funders prevention autonomy loss November 2017. Institutional review board approval obtained April 2018. Data collection started May 2018; end date data 2020. analysis take place summer 2020, first results expected published late <title>CONCLUSIONS</title> reveal whether provide effective management patients, as indicated shorter durations. Shorter durations could lead reduced risk complications—geriatric syndromes—and domino chain conditions follow. We also different cities compare how they function pave way toward new advances, especially organization path. <title>CLINICALTRIAL</title> ClinicalTrials.gov NCT03959475; https://clinicaltrials.gov/ct2/show/NCT03959475 <title>INTERNATIONAL REGISTERED REPORT</title> DERR1-10.2196/15423