Geriatric Assessment and Intervention for Older Patients With Frailty in the Emergency Department. Randomized Controlled Trial
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 432
- Locations
- 1
- Primary Endpoint
- Cumulated Length of Stay
Study 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.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Supportive Care
- Masking
- None
Eligibility Criteria
- Ages
- 75 Years to — (Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
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.
Arms & Interventions
Standard Emergency Care + CGA
Standard Care is provided for the acute condition as usual by the ED personnel. Besides the standard care provided by ED personnel, patients are systemically screened and assessed by physician trained for geriatrics or geriatric emergency medicine. Geriatric multi-discipline treatment plan and recommendations are given if suitable for the case.
Intervention: CGA (Other)
Standard Emergency Care
Standard Care is provided for the acute condition as usual by the ED personnel.
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)
Investigators
Janne Alakare
Senior physician in Emergency Medicine
Helsinki University Central Hospital