Prevention of pneumonIA in Nursing hOme (PIANO)

  • STATUS
    Recruiting
  • End date
    Sep 13, 2024
  • participants needed
    7000
  • sponsor
    University Hospital, Toulouse
Updated on 13 March 2022
pneumonia

Summary

Infections in nursing home are associated with high morbidity and mortality. Pulmonary infections are known to be the most problematic. In our INCUR observational study of 773 residents, 20.13% of residents had pneumonia during the year of follow-up. On average, the extra cost of pneumopathies was 4,467 euros / patient for the long-term care facility and 3,044 euros for the hospital.

Description

The pneumopathies in nursing home are the main cause of hospitalization of residents. Depending on the series, 9 to 50% of residents with pneumonia should be transferred. This reflects the difficulties faced by nursing home care teams in these situations. The respiratory symptomatology of nursing home residents is difficult to grasp and the prescribed antibiotic therapy is often considered inappropriate (25% to 75% of cases). Prevention of resident pneumonia, such as vaccination against pneumococcus remains poorly practiced, influenza vaccination teams or vitamin D supplementation.

In addition to the risk of mortality, lung diseases are often the cause of a rapid functional decline. Preventing pneumonia in nursing homes is therefore an important issue in the prevention of dependence, the quality of life, the health care system (use of hospitalization and transfer to emergencies) and health expenditure. In this vulnerable population, a prevention intervention seems particularly relevant.

In this research project, the investigators hypothesize that a multi-domain prevention intervention for pneumonia carried out by nursing teams in nursing homes can reduce the incidence of pneumonia. They also believe that this action would reduce emergency transfers and health expenditures.

Details
Condition Pneumonia
Treatment Usual practice, On-line training
Clinical Study IdentifierNCT04121182
SponsorUniversity Hospital, Toulouse
Last Modified on13 March 2022

Eligibility

Yes No Not Sure

Inclusion Criteria

Living in a nursing home for at least 30 days at the start of inclusions
Having received information concerning the study and having not expressed opposition to participate
For which an agreement in principle of the attending physician has been obtained

Exclusion Criteria

Refusal of the resident (or of his legal representative) or of his treating physician after given information
Resident at the end of life (life expectancy evaluated within one month by the coordinating physician)
Resident whose attending physician is already involved in the PIANO study under a resident of another nursing home
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