Predictive Factors of Autonomy Loss in Real-life Cohort

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorHospices Civils de Lyon

About this trial

The Alzheimer's disease or related disorders (ADRD) are among the most disabling diseases because of their main features such as cognitive impairment, loss of functional autonomy and behavioural disorders. In absence of current curative treatment, the identification of the predictive risk factors of progression of the disease, evaluated through its main symptoms, represents a major stake of public health. The Investigators aim at developing a regional database, which includes the patient medical records on a prospective basis, in collaboration with the medical and administrative staff and with the University hospital computer science departments.

The main objective is to study the predictive factors associated with change in functional autonomy level, measured every 6 to 12 months in centres across Region Auvergne Rhone-Alpes in France.

The real-life study population will consist in about 5400 patients with ADRD. The inclusion period will be of 3 years, the length of follow-up of each patient will be of 10 years max for a total study length of 13 years.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patients aged 18 years and older, undergoing a medical visit in a memory center or neuro-cognition service

Patients living at home or in housing

Patients with memory impairment, at all stage of the disease

Disqualifiers

Patients in institution

Patients under legal protection

Patients with a hearing or visual impairment, which prevents carrying out examinations

Trial design

Design model

Single group

Treatments tested in this trial

  • no intervention

    Other intervention

    This is study carried out in current practice. Patients are undergoing a medical examination in a memory center, with extensive and systematic evaluations for the study involving the following tests: IADL, DAD6, New AGGIR, NPI, and mini-Zarit) assessing the functions (autonomy, behavior and caregiver burden).

Treatment groups

5,400 Participants
are divided into 1 treatment group
Group A: Patients with subjective cognitive complaint or neurocognitiveExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Functional autonomy level

The Lawton Instrumental Activities of Daily Living (IADL)

Time frame
from 6 months to 12 months interval
2

Functional autonomy level

The Disability Assessment of Dementia (DAD-6)

Time frame
from 6 months to 12 months interval
3

Functional autonomy level

The New-AGGIR (French national score for dependency assessment)

Time frame
from 6 months to 12 months interval

Secondary outcomes

Other outcomes

Sponsors and contacts

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