Adverse Event Prediction in Geriatric Patients in the ED With Ultrasound
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 68
- 试验地点
- 1
- 主要终点
- Ultrasound Qcsa
研究概览
简要总结
The aim of this study is to evaluate whether ultrasound measurements of the Qcsa can be utilized to identify older patients who are at risk for functional decline, ED revisit or death.
详细描述
Background:
Older people visit the Emergency Department (ED) more frequently then younger people and have a higher risk of functional decline, ED revisit or death. Several screening tools (such as the Dutch safety management system (VMS) and Acutely Presenting Older Patient (APOP)) have been developed to identify patients at the highest risk of adverse outcomes. Almost all require adequate communication with the patient, which is not always possible, for example when elderly patients present with a delirium. Point of Care Ultrasonography (POCUS) may be a valuable alternative screening tool in these instances.
Main research question:
To identify whether POCUS measurement of the rectus femoris muscle cross-sectional area (Qcsa) can be used as an alternative screening tool to predict functional decline, ED revisit or death in elderly patients in the ED.
Design (including population, confounders/outcomes):
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 70 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age (>70 years)
- •Presenting to the ED of the UMCG for one of the following specialties: internal medicine, nephrology, geriatric medicine, oncology, hematology, lung medicine, gastrointestinal/liver medicine, or emergency medicine (non-trauma).
- •Consent obtained for participation in the Acutelines bio-databank
排除标准
- •Unable to obtain ultrasound image of rectus femoris (e.g. amputation, edema)
- •Paresis or paralysis of one or both legs
结局指标
主要结局
Ultrasound Qcsa
时间窗: 1 day of admission to ED
POCUS Qcsa in older patients in the ED.
Mortality
时间窗: 3 months
Is there a relation between the performed POCUS Qcsa measurement at ED visit and mortality in older patients.
ED revisit
时间窗: 3 months
Is there a relation between the performed POCUS Qcsa measurement at ED visit and ED revisit in older patients.
次要结局
- ED revisit: Ultrasound Qcsa versus Karnofsky Performance Score(3 months)
- Mortality: Ultrasound Qcsa versus Karnofsky Performance Score(3 months)
- ED revisit: Ultrasound Qcsa plus Karnofsky Performance Score(3 months)
- Mortality: Ultrasound Qcsa plus Karnofsky Performance Score(3 months)
研究者
Svenja Lichelle Haak
Principal Investigator
University Medical Center Groningen