Emergency Room Evaluation and Recommendations for Older Users of Emergency Departments: a Cohort Study Database on the Effects of ER2 Recommendations on Length of Stay and Hospital Admission
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Elderly Care
- Sponsor
- Jewish General Hospital
- Enrollment
- 4724
- Locations
- 1
- Primary Endpoint
- Hospital admission rate by age
- Status
- Active, not recruiting
- Last Updated
- 2 years ago
Overview
Brief Summary
The study evaluates if the Emergency Room Evaluation and Recommendation Tool (ER2) reduces the hospital admission rate and the length of stay in Emergency.
Detailed Description
Regardless of the reason for ED visit and its care plan, there are simple interventions, which may be continued to prevent short-term ED adverse outcomes. Delirium, motor deconditioning, adverse drug reactions due to polypharmacy, and inappropriate home support are the main conditions to target when taking care of older ER users. Evidence based medicine showed that simple and early intervention in the process of care may prevent delirium (e.g., hydration, avoid restraint, mobilize and satisfy basic needs, time and place reorientation) and motor deconditioning (e.g., encourage mobility, up to chair at meal time during day light hours, provide appropriate walking aid) in older patients. The medication reconciliation is also an efficient intervention for the prevention of adverse drug reactions. Furthermore, an early assessment of home support is a crucial step to adjust home services for an early discharge to home.
Investigators
Olivier Beauchet
MD, Professor of Geriatrics
Jewish General Hospital
Eligibility Criteria
Inclusion Criteria
- •Being 75 years old and over
- •Being brought at Emergency on medical stretcher
Exclusion Criteria
- •Being less than 75 years old
- •Never come at Emergency
Outcomes
Primary Outcomes
Hospital admission rate by age
Time Frame: Around 10 months
The recommendation of the Emergency Room Evaluation Tool will be used to reduce the hospital admission rate in older at Emergency.
Secondary Outcomes
- Length of stay at Emergency(Around 10 months)