FRailty Among Elderly Emergency Department Patients With Outcome Measures

• Conditions: Geriatric, Frailty, Emergency Department

• Registration Number: NCT03814161
• Lead Sponsor: National University Hospital, Singapore

Brief Summary

Our study aims to compare 4 clinical frailty scores, namely Clinical Frailty Scale (CFS), Edmonton Frail Scale (EFS), FRAIL 5-item scale (FRAIL) and SARC-F Sarcopenia Score (SARC-F), which can potentially be adopted for daily practice in the busy ED. It is timely as we projected that we will be seeing more elderly patients attending the ED for various medical and surgical conditions. Their attendance at the ED would be a good opportunity to screen for frailty among them, and to intervene to prevent adverse outcomes such as ED re-attendance or subsequent hospitalisation that might lead to poor functional outcomes and higher dependence on step-down care facilities.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2018-10-12
• Study Start: 2019-01-20
• Study First Submitted QC: 2019-01-20
• Study First Posted: 2019-01-23
• Status Verified: 2022-03
• Last Update Submitted: 2022-04-12
• Last Update Posted: 2022-04-20
• Primary Completion: 2022-12-01
• Study Completion: 2023-12-01

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 211

Inclusion Criteria

• Elderly patients aged 65 years and above attending ED irrespective of reason for attendance.

Exclusion Criteria

• Haemodynamically unstable patients
• Inability to obtain informed consent
• Inability to obtain reliable information from patient or caregiver (e.g. deafness, blindness, language barriers)
• Vulnerable populations (e.g. prisoners)
• Patients who are planned for hospital admission from the ED

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
1-month Adverse Event Occurrence (composite)	At 1 month after index ED visit	Falls, ED re-attendance, hospital/ nursing home admission, decline in Activities of Daily Living and/or all-cause mortality

Secondary Outcome Measures

Name	Time	Method
3-month Adverse Event Occurrence (composite)	At 3 months after index ED visit	Falls, ED re-attendance, hospital/ nursing home admission, decline in Activities of Daily Living and/or all-cause mortality

Trial Locations

Locations (1)

National University Hospital, Singapore; 🇸🇬 Singapore, Singapore