Geriatric Assessment and Intervention for Older Patients With Frailty in the Emergency Department. Randomized Controlled Trial
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Frail Elderly Syndrome
- Sponsor
- Helsinki University Central Hospital
- Enrollment
- 432
- Locations
- 1
- Primary Endpoint
- Cumulated Length of Stay
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
Comprehensive Geriatric Assessment (CGA) is an established approach for better detection of frailty-related problems and includes individualized treatment plan with multi-discipline supportive and treating measures for the older frailty patients. However, there is limited evidence of feasibility and efficacy of the CGA when provided in the emergency department setting.
In the GAOPS-study the efficacy of the CGA in emergency department setting will be studied by randomized controlled study protocol. We aim to study if the CGA provided in the ED is feasible, safe and efficient method when added with standard emergency care for older frail patients.
Investigators
Janne Alakare
Senior physician in Emergency Medicine
Helsinki University Central Hospital
Eligibility Criteria
Inclusion Criteria
- •Age of minimum 75 years
- •"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.
Outcomes
Primary Outcomes
Cumulated Length of Stay
Time Frame: Day 365
Cumulated stay (days) in hospital wards (university hospital and community hospital) including all admissions during the follow-up.
Secondary Outcomes
- Admissions(Day 30, Day 365)
- Admission rate(Day 0)
- Readmissions in the ED(Hour 72, Day 30, Day 365)
- Living at home(Day 365)
- Quality of Life(Day 0, Day 365)