Triage Assessment and NEWS-score as Risk Predictor in Older Frailty Adults in the ED

Completed

• Conditions: Aged; Frailty; Triage

• Registration Number: NCT03783234
• Lead Sponsor: Helsinki University Central Hospital

Brief Summary

Emergency Department Triage Systems have not been shown to sufficiently recognize frail elderly patients in need of urgent assessment and care. In this prospective, observational study the performance of the 3-level triage system and the National Early Warning Score (NEWS) 2 are assessed (separately and combined) for predicting adverse outcomes in older frailty patients visiting in the ED. Observational data for this study is gathered as part of GAOPS - main study (ClinicalTrials.gov Identifier: NCT03751319).

Detailed Description

Not available

Study Timeline

• Study Start: 2018-12-11
• Study First Submitted: 2018-12-19
• Study First Submitted QC: 2018-12-19
• Study First Posted: 2018-12-20
• Primary Completion: 2019-09-01
• Study Completion: 2020-10-28
• Status Verified: 2022-01
• Last Update Submitted: 2022-01-29
• Last Update Posted: 2022-02-01

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 1711

Inclusion Criteria

• "Clinical Frailty Scale" minimum 4 estimated at the arrival to the ED by nurse

Exclusion Criteria

• Non-resident of the counties (City of Espoo, Kirkkonummi, Kauniainen) of the hospital district.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Mortality	30 days	Mortality during the 30 day follow-up

Secondary Outcome Measures

Name	Time	Method
Hospital admission	Day 0	Admission to hospital from the Emergency Department
ICU/HDU admission	Day 0	Admission to the Intensive Care Unit or High Dependency Unit from the Emergency Department
Readmission in the ED	Hour 72, Day 30	Re-visits to the ED after the index-visit

Trial Locations

Locations (1)

Helsinki University Central Hospital, Jorvi; 🇫🇮 Espoo, Finland